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AFFIDAVIT OF MARITAL STATUS <br />STATE OF NEBRASKA <br />ss: <br />COUNTY OF HALL <br />COMES NOW the undersigned, being duly sworn, deposes and <br />says that the undersigned is the surviving spouse of the Decedent <br />and that the following information is true and correct: <br />1. Name of Decedent: Ronald W. Carlson <br />Date of Death: April 13, 2020 <br />Domicile at Date of Death: Grand Island, Nebraska <br />Name of Surviving Spouse: Betty L. Carlson <br />Date of Marriage: <br />November 15, 1959 <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: <br />Lot 4, Sunset Sixth Subdivision, being a tract of land <br />comprising a part of Lot 1, Sunset Subdivision and part of the <br />Northeast Quarter of Section 11, Township 11 North, Range 10 West <br />of the 6th P.M., Hall County, Nebraska. <br />5. As of the date of death, the real estate has a fair <br />P.) <br />CD <br />V <br />(V <br />CO <br />CO <br />IVB <br />