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. � <br /> � <br /> +� T � � S � <br /> 2 D � � h � _ . <br /> z 9 <br /> � _ � ` �.� C� '� <br /> r 1 J z -A-� � IT1 <br /> � � � � rn �. <br /> rn -c "c o � c° <br /> • � ac, 1-� o � o.. <br /> tl� -�, ° �'' � r--� <br /> O Q m � � D � p c�i> <br /> o � rr- n ^� c=i� <br /> � N �-r <br /> � N x � C <br /> '"' � rn <br /> 4 i � � ,,�„r <br /> ��_ 1�4�s� z <br /> 0 <br /> AFFIDAVIT OF MARITAL STATUS <br /> STATE OF NEBRASKA ) <br /> ) ss . <br /> COUNTY OF HALL ) /� <br /> ��� <br /> COMES NOW, the undersigned , being first duly sworn upon oath , <br /> and deposes and states that the undersigned knows the Decedent and <br /> the surviving spouse of the Decedent and that the following <br /> information is true and correct . <br /> 1 . Name of Decedent : Merle C. Brundage <br /> Date of Death: April 9 , 1999 <br /> Domicile at Death: Cairo , Hall County , Nebraska <br /> Name of Surviving Spouse : Mary L . Brundage <br /> Date of Marriage : March 17 , 1940 <br /> 2 . The Affiant is the �on of the Decedent and , in that <br /> capacity, is familiar with the marital status and the death of the <br /> Decedent . <br /> 3 . That there is no federal estate tax , Nebraska inheritance <br /> tax or Nebraska estate taY due . <br /> 4 . Title to the following described real estate is held by <br /> the Decedent and the surviving spouse in joint tenancy, to-wit : <br /> Lots Five ( 5 ) and Six ( 6 ) , in Block Four ( 4 ) , Original <br /> Town of Cairo , Hall Caunty, Nebraska. <br /> The North Half of the Northwest Quarter (N1/� Nwl/4 ) of <br /> Section Twenty-One ( 21 ) , Township Twelve ( 12 ) North , <br /> �ange Twelve ( 12 ) , West of the 6th P. M. , Hall County , <br /> Nebraska. <br /> 5 . As of the date of death, the real estate had a fair market <br /> value of $ 73, 487. 00 <br /> 6 . The Decedent and the surviving spouse were married as of <br /> the date of death. There is no Nebraska inheritance tax lien by <br /> reason of Nebraska Revised Statute §77-2003 . There is no Nebraska <br /> estate taY lien by reason of Nebraska Revised Statute §77-2102 . <br /> FURTHER Affiant saith not . <br /> Ronald . B undage <br /> Subscribed and sworn to before me this � / day of Apri l , <br /> 1999 . — <br /> �.�.�..�. <br /> 6ENEAAI NOTARY State of Yebrtsl� ' <br /> DENISE D.MYERS � <br /> MY Comm.Exp.Nor.20,2002 N o t a r,y P u b 1 i c <br />