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Return to: Jamie Mues Jankovitz <br />)1y P.O. Box 639 <br />� Grand Island, NE 68802 -0639 <br />AFFIDAVIT OF MARITAL STATUS <br />FURTHER THIS AFFIANT SAYETH NOT. <br />STATE OF NEBRASKA ) <br />COUNTY OF HALL ) <br />SUBSCRIBED and sworn to before me on this c !7 day of <br />2017 by Melvin E. Sperling, Affiant. <br />GENERAL NOTARY - State of Nebraska <br />JAMIE MUES JANKOVITZ <br />My Comm. Exp. May 25, 2018 <br />PREPARED BY: <br />Jamie Mues Jankovitz, #20754 <br />BRADLEY LAW OFFICE, PC <br />202 West Third Street <br />P.O. Box 639 <br />Grand Island, NE 68802 <br />Telephone: (308) 382 -2128 <br />Lamie a,brad ace.com <br />) ss: <br />Page 1 of 2 <br />Melvin E. Sperling, Affi <br />C.43 <br />CD <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: Helen K. Sperling <br />Date of Death: November 25, 2011 <br />Domicile at Death: Hall County, Nebraska <br />Name of Surviving Spouse: Melvin E. Sperling <br />Date of Marriage: April 1, 1984 <br />2. The Affiant is the husband of the Decedent and in that capacity is familiar with the <br />marital 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 />Part of the Southeast Quarter of the Southeast Quarter (SE1 /4SE1 /4) of <br />Section Twenty -One (21), Township Eleven (11) North, Range Nine (9), <br />West of the Sixth (6 P.M., in Hall County, Nebraska; commencing at a <br />point Four Hundred Ninety -Five Feet (495') West of the Southeast corner <br />of said section, thence running North, One Hundred Sixty- Five'Feet (165'), <br />thence West, Sixty -Six Feet (66'), thence South, One Hundred Sixty -Five <br />Feet (165'), thence East, Sixty -Six Feet (66') to the place of beginning; <br />(Physical address: 318 W. Stolley Park Rd., Grand Island, NE) <br />5. As of the date of death, the real estate had a fair market value of $102,860.00 <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. There is no Nebraska estate tax lien by reason of Nebraska Revised Statute §77- <br />2102. <br />