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200009951
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Last modified
10/13/2011 9:47:46 PM
Creation date
10/20/2005 10:18:18 PM
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DEEDS
Inst Number
200009951
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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: Raymond W. Wernke <br />Date of Death: November 1, 2000 <br />Domicile at Date of Death: Hall County, Nebraska <br />Date of Marriage: March 4, 1948 <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 following described real estate was held by the <br />Decedent and Shirley M. Wernke, the Decedent's spouse, on the date of <br />the Decedent's death, to -wit: <br />Lot Nine (9), Block Eight (8), Parkhill Second Subdivision, <br />Grand Island, Hall County, Nebraska. <br />5. As of the date of death, the real estate has a fair market <br />value of $87,050.00. <br />6. The Decedent and Shirley M. Wernke were married as of the date <br />of death of Raymond W. Wernke. There is no Nebraska Inheritance Tax <br />lien, and no Nebraska inheritance tax lien. <br />AND FURTHER AFFIANT SAITH NOT. <br />Shirley M. Wernke <br />Subscribed and sworn to before me this day of November, <br />2000. <br />GENERAL NOTARY -State of Nebraska <br />1111 GALEN E. STEHLIK <br />My Comm. Exp. May 1. 2002 O <br />ESTATES \A- MARITAL.AFF <br />rn 0 <br />_ <br />; <br />CD <br />C) cn <br />� <br />d <br />x <br />to <br />_ <br />z <br />Z9 <br />7 r <br />v' <br />M �y, <br />C <br />_< C <br />Q <br />p4 <br />F-' <br />o -*t <br />O <br />p� <br />° <br />cl1 <br />z <br />O <br />N. <br />xG �' <br />° C � <br />_ �' <br />O <br />CM <br />OC _- <br />rn <br />n <br />cn <br />C <br />rr- <br />n <br />cn <br />= <br />Q <br />Cn <br />to <br />Z <br />200009951 <br />0 <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: Raymond W. Wernke <br />Date of Death: November 1, 2000 <br />Domicile at Date of Death: Hall County, Nebraska <br />Date of Marriage: March 4, 1948 <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 following described real estate was held by the <br />Decedent and Shirley M. Wernke, the Decedent's spouse, on the date of <br />the Decedent's death, to -wit: <br />Lot Nine (9), Block Eight (8), Parkhill Second Subdivision, <br />Grand Island, Hall County, Nebraska. <br />5. As of the date of death, the real estate has a fair market <br />value of $87,050.00. <br />6. The Decedent and Shirley M. Wernke were married as of the date <br />of death of Raymond W. Wernke. There is no Nebraska Inheritance Tax <br />lien, and no Nebraska inheritance tax lien. <br />AND FURTHER AFFIANT SAITH NOT. <br />Shirley M. Wernke <br />Subscribed and sworn to before me this day of November, <br />2000. <br />GENERAL NOTARY -State of Nebraska <br />1111 GALEN E. STEHLIK <br />My Comm. Exp. May 1. 2002 O <br />ESTATES \A- MARITAL.AFF <br />
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