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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: Clare V. Stewart <br />Date of Death: February 21, 2001 <br />Domicile at Date of Death: Grand Island, Nebraska <br />Name of Surviving Spouse: Walter 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: Lot One (1) in Knickrehm's Eighth Addition to the City <br />of 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 />sd <br />ii <br />S <br />M <br />a <br />n Z <br />D <br />= N <br />= CA <br />f""i Z <br />~? <br />�a <br />m <br />� <br />b -' <br />Cl-) <br />Ti <br />© -i <br />� n <br />-..i rn <br />O IM <br />N CD <br />O CID <br />O <br />Draw <br />_ <br />"1 <br />00 <br />F-' <br />y <br />4� <br />y <br />O -mss <br />O C <br />Co CO <br />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: Clare V. Stewart <br />Date of Death: February 21, 2001 <br />Domicile at Date of Death: Grand Island, Nebraska <br />Name of Surviving Spouse: Walter 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: Lot One (1) in Knickrehm's Eighth Addition to the City <br />of 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 />sd <br />