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M 2 D <br />-n M N <br />n n Z c:D o__4 o <br />C�o CD <br />CD W <br />M rn '�5 O D mm O <br />GD D O <br />C: W N CD <br />• iii F-� (/'f � .�..�• <br />! N <br />O <br />AFFIDAVIT OF MARITAL STATUS <br />STATE OF NEBRASKA ) 200002024 <br />ss. <br />COUNTY OF HALL ) _ <br />O <br />COMES NOW, the undersigned, being duly sworn, deposes and states <br />that the undersigned is the surviving spouse of the Decedent, and that <br />the following information is true and correct: <br />1. Name of Decedent: Warren Alton Catchpool <br />Date of Death: March 1, 2000 <br />Domicile at Date of Death: Grand Island, Hall County, <br />Nebraska <br />Date of Marriage: October 22, 1946 <br />2. The Affiant is the Decedent's surviving spouse. <br />3. There is no Federal Estate Tax, Nebraska Inheritance Tax or <br />Nebraska Estate Tax that arose, or can arise, by virtue of the <br />Decedent's death. <br />4. Title to the following described real estate was held by the <br />Decedent and Etta E. Catchpool, the Decedent's spouse, on the date of <br />the Decedent's death, to -wit: <br />Lot Six 6), Block Two (2), Jack Voss Second Subdivision, <br />Being a Part of the Southwest Quarter (SW1 /4) of Section Two <br />(2), Township Eleven (11) North, Range Ten (10), West of the <br />6th P.M., Hall County, Nebraska. <br />5. Title to this real estate was taken in the name of Warren A. <br />Catchpool and Ette E. Catchpool, husband and wife. The correct legal <br />name of Ette E. Catchpool is Etta E. Catchpool. <br />6. As of the date of death, the real estate has a fair market <br />value of $70,315.00. <br />7. The Decedent and Etta E. Catchpool were married as of the date <br />of death of Warren Alton Catchpool. There is no Nebraska Inheritance <br />Tax lien, and no Nebraska inheritance tax lien. <br />AND FURTHER AFFIANT SAITH NOT... <br />Etta E. Catchpool <br />Subscribed and sworn to before e this 13th day of March, 2000. <br />GENERAL NOTARY-State of Nebraska <br />GALEN E. STEHLIK <br />My Comm. Eq. May 1, 2002 a r y t i c <br />ESTATES \CATCHPOOL.AFF <br />