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—c <br />CD <br />:r) <br />f --J <br />Return to: <br />v <br />Denise D. Myers <br />P.O. Box 505 <br />Cairo, NE 68824 <br />AFFIDAVIT OF MARITAL STATUS <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) <br />COMES NOW, the undersigned, being first duly sworn upon oath, and deposes and states <br />that the undersigned knows the Decedent and the surviving spouse of the Decedent and that the <br />following information is true and correct. <br />1. Name of Decedent: Julie A. Splattstoesser <br />Date of Death: December 31, 2020 <br />Domicile at Death: Alda, Hall County, Nebraska <br />Name of Surviving Spouse: Kevin S. Splattstoesser <br />Date of Marriage: December 19, 1992 <br />2. The Affiant is the attorney for the Decedent's spouse and, in that capacity, is familiar <br />with the marital status and the death of the Decedent. <br />3. That there is no federal estate tax, Nebraska inheritance tax or Nebraska estate tax <br />due. <br />4. Title to the following described real estate is held by the Decedent and the surviving <br />spouse in joint tenancy, to -wit: <br />Lot Eighteen (18), Argo Second Subdivision, Village of Alda, Hall County, Nebraska. <br />5. As of the date of death, the real estate had a fair market value of $55,923. <br />6. The. Decedent and the surviving spouse were married as of the date of death. There <br />is no Nebraska inheritance tax lien by reason of Nebraska Revised Statute §77-2003. <br />FURTHER Affiant sayeth not. <br />Denise D. Myers <br />Subscribed and sworn to before me this <br />4446ENERAL NOTARY • State of Nebraska <br />SUSAN R. MRKVICKA <br />My Comm. Ex➢. June 8, 2025 <br />1' — day of , 2022. <br />rnr1 1? mf lz�c iL� <br />No— tary Public <br />N <br />O <br />ru <br />rV <br />CD <br />OD <br />l6) <br />