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9 <br />rn <br />71 <br />c_ <br />z <br />1 z n <br />ral <br />J 1 v' <br />aC <br />FURTHER THIS AFFIANT SAYETH NOT. <br />m tin <br />AFFIDAVIT OF MARITAL STATUS <br />Patrick Deuel, Affiant <br />art <br />.0 a W <br />0) <br />o � <br />y ry -< <br />C. <br />=- F'1 <br />5 <br />^vry j. f,C9 (... 2 <br />,,,-, r _za F.. CA <br />CD x CT) Al <br />CD <br />• CJn S te . <br />C71 <br />r*i <br />b <br />Lel <br />(/) CO <br />'D 0 <br />Comes Now, the undersigned, being first duly sworn upon oath, deposes and states that the <br />undersigned knows the Decedent and the surviving spouse of the Decedent and that the following <br />information is true and correct. <br />1. Name of Decedent: Betty J. Deuel <br />Date of Death: February 9, 2014 <br />Domicile at Death: Hall County, Nebraska <br />Name of Surviving Spouse: James W. Deuel <br />Date of Marriage: l 11(� <br />2. The Affiant is the son of the Decedent and in that capacity is familiar with the marital <br />p Y <br />status and the death of the Decedent. <br />3. That there is no federal estate tax, Nebraska inheritance tax or Nebraska estate tax <br />due. <br />4. Title to the following described real estate is held by the Decedent and the surviving <br />spouse in joint tenancy, to wit: <br />Lot Five (5) in Block Twenty Nine (29), in Russel Wheeler's Addition <br />to the City of Grand Island, Hall County, Nebraska <br />5. As of the date of death, the real estate had a fair market value of $54,708.00. <br />6. The Decedent and the surviving spouse were married as of the date of death. There <br />is no Nebraska inheritance tax lien by reason ofNebraska Revised Statute § 77 -2003. <br />There is no Nebraska estate tax lien by reason ofNebraska Revised Statute §77 -2102. <br />