201208825 - Laserfiche WebLink

Browse

= � � �� N � 0 = m � � � � N "� �� Cn = �� �� �� � aQ� �' � � 3 � a e ,=„ � r � � � W � � � � � � � � � � � °C � N 9g � �. _; � � � � o --� D C � N � �� r , l i ..., Z �'= �' r '` i � --I � rn 0 � � r , --< � � r'„. � c� �9 fd 2 �.i :. f\_) v � � � 1 — � � � ��n �_ � ,�_ , �`� _' :z � a ��° � �� ,-, , � r- n pp � .; v� � l ` ?� �� Q, �-, e�� T> i 1? tri , "�.,) � � _ j u, �� O cI� CJl AFFIDAVIT OF MARITAL STATUS Comes Now, the undersigned, being first duly sworn upon oath, deposes and states that the undersigned knows the Decedent and the surviving spouse of the Decedent and that the following information is true and correct. 1. Name of Decedent: James Lee Gabel Date of Death: October 2, 2012 Domicile at Death: Hall County, Nebraska Name of Surviving Spouse: Sandra Gabel Date of Marriage: February 15, 1975 2. The Affiant is the spouse of the Decedent and in that capacity is familiar with the marital status and the death of the Decedent. 3. That there is no federal estate tax, Nebraska inheritance tax or Nebraska estate tax due. 4. Title to the following described real estate is held by the Decedent and the surviving spouse in joint tenancy, to wit: Lot Nine (9), Block Two (2), Capital Heights Subdivision, in the City of Grand Island, Hall County, Nebraska 5. As of the date of death, the real estate had a fair market value of $110,141.00. 6. The Decedent and the surviving spouse were married as of the date of death. There is no Nebraska inheritance ta�c lien by reason of Nebraska Revised Statute § 77-2003. There is no Nebraska estate tax lien by reason of Nebraska Revised Statute §77-2102. FURTHER THIS AFFIANT SAYETH NOT. � a Gabel, Affiant STATE OF NEBRASKA COUNTY OF HALL ) ) ss: ) SUBSCRIBED and sworn to before me on this ��day of ,h , 2012 by Sandra Gabel, Affiant. GENERAL NOTARY- State of Nebraska — � JAMIE MUES JANKOVITZ �,� -� G �� Rfly Comm. Exp. May 25, 2014 Notary Public I 0 � ,�D