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<br /> - �''•.�.= AFFIDAVIT OF 6fARITAL STATUS
<br /> ��'.,.,.;,�;;.
<br />_,,:£;��;,:�, STATE OF NEBRASKA )
<br />_:��..i. ) Bs.
<br />;�,�'.`�.�� '.' GOUNTY OF HALL ) !
<br />_=i,A,. . .�.. �"
<br /> 5 <�- COMES NOW, the undersigned, being first duly sworn upon oath, �
<br /> •-���r ?:� and deposes and states that the undersigned knowe the Decedent and
<br /> �` '����, .=�- the surviving epouse of the Decedent and that the following
<br /> � iniormation is true and correct.
<br /> :'r �=•
<br /> 1. Name of Decedent: Hazel Joan Pfeil
<br />- ''r Date of Death: October 17, 1997
<br /> Domicile at Death: Doniphan, Hall County, Nebraska
<br /> ' �� Nam� of. Surviving Spouee: Dallas B. Pfeil
<br /> "`" '�' Date of Marriage: April 12, 1953
<br /> .�',> .
<br />__��.: �
<br /> - •��`� 2. The Affiant ie the son of the Decedent and, in that
<br /> _-=�`,:•�.;;�,.}: capacity, is familiar with the marital status and the death af the
<br />_ : .1r.���;,, Decedent.
<br /> =:;•,.,,`;rt,��,
<br /> - " •'"���� 3. That there ig no federal estate tax Nebraska inheritance
<br />",;�iAl�::•,j��.�:r,`• �
<br /> -^:F`��,.<��
<br /> tax or Nebraska esC�te tax due.
<br /> -r'''� . ��� 4. Title ta the following descrlbed real estate is held by
<br /> ?'.�%�«�Cc- the Decedent and the surviving spouse in j oint tea�ancy, to-wit:
<br /> ''i h.'1�'lL�.W•
<br /> `�:;;:;,;,;1;� L'ot Seven (7) , Block Two (2) , Gideon's Addition to the
<br /> : ';,.�"`, � Village of Doniphan, Hall County, Nebraska.
<br /> :.�'"
<br /> - �..y�
<br />�W�A•+�•<<�- ._ 5. As of the date of death, the real estate had a• fair market
<br /> �°��� �-�-'� value of $49,106.00.
<br /> .�
<br />- � '�y�
<br /> '� .. 6. The Uecedent and the surviving spouse were maxried ae of
<br /> �''��•; . ;� the date of death. There is no Nebraska inheritance tax lien by
<br /> ` reaAOn of Nebraska Revised Statute §77-2003. There is no Nebraska
<br /> = s. . estate tax lien by reaoon of Nebraaka Revised Statute §77-2102 .
<br /> ��'
<br /> -- F'URTHER Af.fiant saith not.
<br />. , �
<br /> Ric ard Pfeil
<br /> Subecribed and sworn to before me this �� day of Decemb�r, -
<br /> 1997. �
<br /> �
<br /> , a GENERAI NOTARY•$UleOf Nebr�sY� _ _
<br /> ��7 SCOTTl.RaACH Notary P 7.ic
<br /> —� � Mr Comm.Exp.April 16.T000 _
<br /> -.- -----�,
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