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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,
<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: Steven L. Cromer
<br />Date of Death: May 19, 2001
<br />Domicile at Death: Cairo, Hall County, Nebraska
<br />Name of Surviving Spouse: Cheryl K. Cromer
<br />Date of Marriage: August 8, 1972
<br />2. The Affiant is the father -in -law of the Decedent and, in
<br />that capacity, is familiar with the marital status and the death of
<br />the Decedent.
<br />3. That there is no federal estate tax, Nebraska inheritance
<br />tax or Nebraska estate tax due.
<br />4. Title to the following described real estate is held by
<br />the Decedent and1the surviving spouse in joint tenancy, to -wit:
<br />Lots Four (4) and Five (5), Weber Subdivision, City of
<br />Cairo, Hall County, Nebraska.
<br />The Westerly One Hundred Feet (100') of the Southerly
<br />Twenty -Three Feet (23') of Lot Five (5), Block Six (6),
<br />Original Town of Cairo, Hall County, Nebraska.
<br />5. As of the date of death, the real estate had a fair market
<br />value of $87,329.00 and $38,080.00 respectively.
<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 tax lien by reason of Nebraska Revised Statute §77 -2102.
<br />FURTHER Affiant saith not.
<br />Raym nd C. Oltman
<br />Subscribed and sworn
<br />to before me this / day of June, 2001.
<br />2
<br />�I{ GENERAL NOTARY State of Nebraska
<br />DENISE 0.MYERS Notary Public
<br />My Comm. UP. NOV. 20, 2002
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<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,
<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: Steven L. Cromer
<br />Date of Death: May 19, 2001
<br />Domicile at Death: Cairo, Hall County, Nebraska
<br />Name of Surviving Spouse: Cheryl K. Cromer
<br />Date of Marriage: August 8, 1972
<br />2. The Affiant is the father -in -law of the Decedent and, in
<br />that capacity, is familiar with the marital status and the death of
<br />the Decedent.
<br />3. That there is no federal estate tax, Nebraska inheritance
<br />tax or Nebraska estate tax due.
<br />4. Title to the following described real estate is held by
<br />the Decedent and1the surviving spouse in joint tenancy, to -wit:
<br />Lots Four (4) and Five (5), Weber Subdivision, City of
<br />Cairo, Hall County, Nebraska.
<br />The Westerly One Hundred Feet (100') of the Southerly
<br />Twenty -Three Feet (23') of Lot Five (5), Block Six (6),
<br />Original Town of Cairo, Hall County, Nebraska.
<br />5. As of the date of death, the real estate had a fair market
<br />value of $87,329.00 and $38,080.00 respectively.
<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 tax lien by reason of Nebraska Revised Statute §77 -2102.
<br />FURTHER Affiant saith not.
<br />Raym nd C. Oltman
<br />Subscribed and sworn
<br />to before me this / day of June, 2001.
<br />2
<br />�I{ GENERAL NOTARY State of Nebraska
<br />DENISE 0.MYERS Notary Public
<br />My Comm. UP. NOV. 20, 2002
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