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12 1 a <br />r;- <br />w � 1 <br />A �� r� � <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />cl <br />AFFIDAVIT OF MARITAL STATUS <br />COMES NOW, the undersigned, being duly sworn, deposes and says that the undersigned is the <br />surviving spouse of the Decedent and that the following information is true and correct: <br />1. Name of Decedent: Jay Curtis Stoddard <br />Date of Death: December 12, 2017 <br />Domicile at Date of Death: Hall County, Nebraska <br />Name of Surviving Spouse: Dorothy J. Stoddard <br />Date of Marriage: August 23, 1949 <br />2. The Affiant is related to the Decedent as follows: Surviving Spouse. <br />3. There is no Federal Estate Tax, Nebraska Inheritance. Tax or Nebraska Estate Tax that is due because <br />of Decedent's death. <br />4. Title to the following described real estate is held by the Decedent and the surviving spouse of the <br />Decedent in joint tenancy, to -wit: <br />The Easterly Thirty-Eight (38) feet of Lot Eight (8), and the Westerly Thirty-Two Feet (32) <br />of Lot Nine (9), in Block Nineteen (19), in Charles Wasmer's Addition to the City of Grand <br />Island, Hall County, Nebraska. <br />5. As of the date of death, the real estate has a fair market value of $148,338.96. <br />6. The Decedent and Affiant were married as of date of death. There is no Nebraska Inheritance <br />Tax lien by reason of Nebraska Revised Statutes Section 77 -2003. There is no Nebraska estate tax lien by <br />reason of Nebraska Revised Statutes Section 77 -2102. <br />FURTHER AFFIANT SAITH NOT. <br />Dorothy J. Stodd. d <br />SUBSCRIBED and SWORN to before me this ' day of January, 2018. <br />GEMEHAL NOTARY- State o1 Nebraska <br />GALEN E. STEHUK <br />My Comm. Exp. May 1, 2018 <br />4 Cl air." <br />Public <br />