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� n n � <br /> ` � � i � o � cr� � <br /> � � = D o z� � �- z -D'i � � <br /> � � n N rn Z � rn � � <br /> `-� 7C G� "� O <br /> � b � O '*t O � <br /> � � �- v � x m � vi <br /> rn <br /> � � � � � 1'r" D► O �, <br /> � � � N � <br /> � <br />' � �j � , v�a.�i �t l�Or <br /> � �" � � N � CJ� �'. <br /> � � �' 200000709 � � � � <br /> AFFIDAVIT OF MARITAL STATUS <br /> STATEOFNEBRASKA ) <br /> ) ss. <br /> COUNTY OF HALL ) <br /> .,,— <br /> � <br /> COMES NOW, the undersigned, being duly sworn, deposes and says that she o <br /> is the surviving spouse of Richard D. Yarns, Decedent, and that the following <br /> information is true and correct: <br /> 1 . Name of Decedent: Richard D. Yarns; <br /> Date of Death: January 12, 2000; <br /> Domicile at Date of Death: Hall County, Nebraska; <br /> Name of Surviving Spouse: Sandra J. Yarns; <br /> Date of Marriage: February 17, 1957 <br /> 2. The Affiant is the surviving spouse of the Decedent, Richard D. Yarns. <br /> 3. There is no Federal Estate Tax, Nebraska Inheritance Tax or Nebraska <br /> Estate Tax. <br /> 4. Title to the following described real estate was held by the Decedent and <br /> the surviving spouse of the Decedent in joint tenancy, to wit: <br /> Lot Nineteen (19), in Block Two (2), in Sothman's <br /> Subdivision to the City of Grand Island, Hall County, <br /> Nebraska. <br /> 5. As of the date of death, the real estate has an assessed value of <br /> 535,942.00 <br /> 6. The Decedent and Affiant were married as of date of death. There is no <br /> Nebraska Inheritance Tax lien by reason of Nebraska Revised Statutes <br /> Section 77-2003. There is no Nebraska estate tax lien by reason of <br /> Nebraska Revised Statutes Section 77-2102. <br /> FURTHER Affiant saith not. <br /> � <br /> � a dra J. Ya <br /> Subscribed and sworn to before me this � / ay of January, 2000. <br /> GENERAI NOTARY•State ol Nebraska <br /> _ � �-� <br /> ��� (iALEN E.STEHlIK tary Pub ic <br /> , My Comm.Exp.May 1,2002 <br />