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� = D - rn ' �' m cn . g D Z � _ � 1 ,_ � O � c D �� � . � `�' �, � z -� N m t� m z � m 0 rn � ��' o (� �{ p,, o Q� ~ o � o c�" `� '..� {� ' h1! `� t I�--+ L17 � � �..I � g `� � �� = m � _ p � ry '� D ac7 � t� �;, � , c�n � 3 �'- A O � ��, � � � � � � N � �. `� � o `.� a� � `= � � 2�'�� z � c� � �'" AFFIDAVIT OF MARITAL STATUS STATE OF NEBRASKA ) ) ss . COUNTY OF HALL ) COMES NOW, the undersigned, being first duly sworn upon oath, Tc:� and deposes and states that the undersigned knows the Decedent and � the surviving spouse of the Decedent and that the following c� information is true and correct . 1 . Name of Decedent : Myrtle Emily Ummel Date of Death: February 21, 1999 Domicile at Death: Cairo, Hall County, Nebraska Name of Surviving Spouse: Glen A. Ummel Date of Marriage: April 7, 1942 2 . The Affiant is the attorney for 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 : The South Half of the Sauthwest Quarter {S1/2 SW1/4) of Section Seventeen (17) , Township Twelve {12) North, Range Eleven (11) , West of the 6th P.M. , Hall County, Nebraska. 5 . As of the date af death, the real estate had a fair market value of $150, 001 . 00 . 6 . The Decedent and the surviving spouse were married as of the date of death. There is no Nebraska inheritance tax 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 Affiant saith not . � � ��-�� Denise D. Myers � Subscribed and sworn to before me this _L day of January, 2000 . � s��-sma a� M�►comm.dp.��,► � �-�,,� � m r�v_�:i��.. Notary Public