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0 <br />Return to: Denise Myers <br />611 N. Diers Ave., Ste. 1 <br />Grand Island, NE 68803 <br />AFFIDAVIT OF MARITAL STATUS <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />COMES NOW, the undersigned, being first duly sworn upon oath, and deposes and <br />states that the undersigned knows the Decedent and the surviving spouse of the Decedent <br />and that the following information is true and correct. <br />1. Name of Decedent: Glen E. Hallner <br />Date of Death: December 5, 2014 <br />Domicile at Death: Grand Island, Hall County, Nebraska <br />Name of Surviving Spouse: Nelda M. Hallner <br />Date of Marriage: August 14, 1966 <br />2. The Affiant is the attorney for Nelda M. Hallner and, in that capacity, is familiar <br />with the marital status and the death of the Decedent. <br />3. That there is no federal estate tax, Nebraska inheritance tax or Nebraska estate <br />tax due. <br />4. Title to the following described real estate is held by the Decedent and the <br />surviving spouse in joint tenancy, to -wit: <br />Lot Nineteen (19), Block One (1), Capital Heights Subdivision, City of Grand <br />Island, Hall County, Nebraska. <br />5. As of the date of death, the real estate had a fair market value of $131,209.00. <br />6. The Decedent and the surviving spouse were married as of the date of death. <br />There is no Nebraska inheritance tax lien by reason of Nebraska Revised Statute §77- <br />2003. <br />FURTHER Affiant saith not. <br />Subscribed and sworn to before me this <br />jea GENERAL WARY. State of Nebrasla <br />KEWEG.HOFFART <br />My Comm. fi*. My 17, 2016 <br />Denise D. Myers <br />day of January, 2015. <br />