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STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <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: Donald V. Allison <br />Date of Death: October 2, 2000 <br />Domicile at Date of Death: Hall County, Nebraska <br />Date of Marriage: May 28, 1988 <br />2. The Affiant is the surviving spouse of the decedent. <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. followiang described real estate was held by the <br />Decedent and Rozella M. Allison, the Decedent's spouse, on the date of <br />the Decedent's death, to -wit: <br />Lot Twelve (12) in Block Two (2) in Knickrehm Second Addition to <br />the City of Grand Island, Hall County, Nebraska. <br />5. As of the date of death, the real estate has a fair market <br />value of $89,506.00. <br />6. The Decedent and Rozella M. Allison were married as of the <br />date of death of Donald V. Allison. There is no Nebraska Inheritance <br />Tax lien, and no Nebraska inheritance tax lien. <br />AND FURTHER AFFIANT SAITH NOT. <br />Rozell;aY M. Allison <br />Subscribed and sworn to before me this 10th day of October, 2000. <br />GENERAL NOTARY-State of Nebraska J <br />III GALEN E. STEHLIK <br />My Comm. Exp. May 1. 2002 <br />4��ary Public <br />ESTATES \ALLISON.AFF <br />S <br />a <br />n <br />= D <br />= <br />o <br />vz <br />CD <br />c? cn <br />cz) <br />C^ D <br />N <br />=? <br />—, <br />LI <br />CD <br />rb <br />CAD <br />C0 <br />co <br />r.y <br />o <br />co <br />—� <br />v <br />co <br />to <br />200008481 <br />AFFIDAVIT <br />OF MARITAL <br />STATUS <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <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: Donald V. Allison <br />Date of Death: October 2, 2000 <br />Domicile at Date of Death: Hall County, Nebraska <br />Date of Marriage: May 28, 1988 <br />2. The Affiant is the surviving spouse of the decedent. <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. followiang described real estate was held by the <br />Decedent and Rozella M. Allison, the Decedent's spouse, on the date of <br />the Decedent's death, to -wit: <br />Lot Twelve (12) in Block Two (2) in Knickrehm Second Addition to <br />the City of Grand Island, Hall County, Nebraska. <br />5. As of the date of death, the real estate has a fair market <br />value of $89,506.00. <br />6. The Decedent and Rozella M. Allison were married as of the <br />date of death of Donald V. Allison. There is no Nebraska Inheritance <br />Tax lien, and no Nebraska inheritance tax lien. <br />AND FURTHER AFFIANT SAITH NOT. <br />Rozell;aY M. Allison <br />Subscribed and sworn to before me this 10th day of October, 2000. <br />GENERAL NOTARY-State of Nebraska J <br />III GALEN E. STEHLIK <br />My Comm. Exp. May 1. 2002 <br />4��ary Public <br />ESTATES \ALLISON.AFF <br />S <br />a <br />