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Return to: <br />Galen E. Stehlik <br />P.O. Box 400 <br />Grand Island, NE 68802-0400 <br />71 nn <br />mc n=n - <br />rnm� x <br />xx <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 says that the undersigned is the <br />surviving spouse of the Decedent and that the following information is true and correct: <br />1. Name of Decedent: Norman L. Sodomka <br />Date of Death: January 28, 2022 <br />Domicile at Date of Death: Grand Island, Hall County, Nebraska <br />Name of Surviving Spouse: Barbara A. Sodomka <br />Date of Marriage: August 1, 1965 <br />2. The Affiant is related to the Decedent as follows: Surviving Spouse. <br />3. There is no Federal Estate Tax, Nebraska Inheritance Tax or Nebraska Estate Tax that is due <br />because of Decedent' s death. <br />4. Title to the following described real estate is currently held by the Decedent and the surviving <br />spouse of the Decedent in joint tenancy, to -wit: <br />All of Lot One Hundred (100) and the South One -Half <br />of Lot One Hundred One (101) in Hawthorne Place, <br />said Hawthorne Place being a subdivision of a part of the <br />Northwest Quarter (NW 1/4) of Section Twenty Two (22) <br />Township Eleven (11) North, Range Nine (9) West of the 6th <br />P.M., in Hall County, Nebraska. <br />5. As of the date of death, the real estate has a fair market value of $124, 063 (assessed adjusted <br />to fair market value) <br />6. The Decedent and Affiant were married as of date of death. There is no Nebraska Inheritance <br />Tax lien by reason of Nebraska Revised Statutes Section 77-2003. There is no Nebraska estate tax lien by <br />reason of Nebraska Revised Statutes Section 77-2102. <br />FURTHER AFFIANT SAITH NOT. <br />Barbara A. Sodomka <br />SUBSCRIBED and SWORN to before me this 2 qday of March, 2022. <br />GENERAL NOTARY - State of Nebraska <br />GALEN E. STEHLIK <br />My Comm. Exp. May 1, 2022 <br />