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rn <br />-n <br />n c <br />Z <br />o <br />Ito O° <br />Return to: Denise 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 <br />and states that the undersigned knows the Decedent and the surviving spouse of the <br />Decedent and that the following information is true and correct. <br />1 Name of Decedent: Alta E. Bruce <br />Date of Death: May 1, 2022 <br />Domicile at Death: Grand Island, Hall County, Nebraska <br />Name of Surviving Spouse: Roger D. Bruce <br />Date of Marriage: June 9, 1972 <br />2. The Affiant is the attorney for the Decedent's spouse and, in that capacity, <br />is familiar with the marital status and the death of the Decedent. <br />3. That there is no federal estate tax, Nebraska inheritance tax or Nebraska <br />estate tax due. <br />4. Title to the following described real estate is held by the Decedent and the <br />surviving spouse in joint tenancy, to -wit: <br />Lot Thirty-one (31), Indianhead Seventh Subdivision in the City of <br />Grand Island, Hall County, Nebraska <br />5. As of the date of death, the real estate had a fair market value of <br />$303,252.00. <br />6. The Decedent and the surviving spouse were married as of the date of <br />death. There is no Nebraska inheritance tax lien by reason of Nebraska Revised Statute <br />§77-2003. <br />FURTHER Affiant saith not. <br />441 <br />Denise D. Myers <br />Subscribed and sworn to before me this 25th day of May, 2022. <br />Notary Public <br />