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O � <br />� K � <br />W <br />N <br />s <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />AFFIDAVIT OF MARITAL STATUS <br />) <br />ss: <br />) <br />COMES NOW the undersigned, being duly sworn, deposes and <br />a <br />says that the undersigned is the surviving spouse of the Decedent s� <br />and that the following information is true and correct: <br />1. Name of Decedent: Clare V. Stewart <br />Date of Death: February 21, 2001 <br />Domicile at Date of Death: Grand Island, Nebraska <br />Name of Surviving Spouse: W. L. Stewart, Jr. <br />Date of Marriage: June 25, 1943 <br />2. The Affiant is related to the Decedent as follows: <br />Spouse <br />3. There is no federal estate tax, Nebraska inheritance tax <br />or Nebraska estate tax due. <br />4. Title to the real estate, as set forth below, is held by <br />the Decedent and the surviving spouse of the Decedent in joint <br />tenancy: West 60 Feet of Lot 5, Block 2, Knickrehm Sixth <br />Addition, Grand Island, Hall County, Nebraska <br />5. As of the date of death, the real estate has a fair <br />market value of: $70,503.00 <br />6. The Decedent and Affiant were married as of the date of <br />death. There is no Nebraska inheritance tax lien by reason of <br />Nebraska Revised Statutes Section 77 -2003. There is no Nebraska <br />estate tax lien by reason of Nebraska Revised Statutes Section <br />n n <br />T <br />M <br />C= <br />o <br />cn cn <br />o <br />`-D <br />n <br />Z <br />n a <br />�-► <br />o -, <br />N <br />= <br />--4 m <br />o <br />7C <br />m <br />t O <br />y <br />CD <br />to <br />-.i � <br />►-� <br />co <br />CD <br />�• <br />v {, <br />C <br />�.. <br />~ <br />° <br />W <br />Co Co <br />m <br />Q, <br />C <br />U) <br />AFFIDAVIT OF MARITAL STATUS <br />) <br />ss: <br />) <br />COMES NOW the undersigned, being duly sworn, deposes and <br />a <br />says that the undersigned is the surviving spouse of the Decedent s� <br />and that the following information is true and correct: <br />1. Name of Decedent: Clare V. Stewart <br />Date of Death: February 21, 2001 <br />Domicile at Date of Death: Grand Island, Nebraska <br />Name of Surviving Spouse: W. L. Stewart, Jr. <br />Date of Marriage: June 25, 1943 <br />2. The Affiant is related to the Decedent as follows: <br />Spouse <br />3. There is no federal estate tax, Nebraska inheritance tax <br />or Nebraska estate tax due. <br />4. Title to the real estate, as set forth below, is held by <br />the Decedent and the surviving spouse of the Decedent in joint <br />tenancy: West 60 Feet of Lot 5, Block 2, Knickrehm Sixth <br />Addition, Grand Island, Hall County, Nebraska <br />5. As of the date of death, the real estate has a fair <br />market value of: $70,503.00 <br />6. The Decedent and Affiant were married as of the date of <br />death. There is no Nebraska inheritance tax lien by reason of <br />Nebraska Revised Statutes Section 77 -2003. There is no Nebraska <br />estate tax lien by reason of Nebraska Revised Statutes Section <br />