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<br /> '93= iO�a�S
<br /> � IN THE CODUTY COURT OF HALL COUNTY, NEBRASKA � �
<br /> IN THE MA'RER OF THE ESTATE N0. PR �3-107
<br /> OF AFFIOAYIT OF MARITAL STATUS
<br /> ROBERT E. LATTIN� D�c�ased.
<br /> STAT� OF NEBRASKA )
<br /> ) ss.
<br /> COUIiTY OF HALL )
<br /> COMES NOW, the undersigned, being duly sworn, deposes and says that
<br /> she is the surviving spouse of the Decedent and that the folloNing information
<br /> is true and corrects
<br /> (1) Name of Decedent: Robert E. Lattin.
<br /> __ � Date of Death: Ma�y 15, 1993.
<br /> � Domicile at Date of Death: Grand Island, Hatl County, Nebraska.
<br /> - -� Na�ae of Sarviving Spo e: L111ian L. Lattin.
<br /> --- -- Oate of Marri age- Q�/
<br /> - �2) The Affiant 1s r�a to t e ec ent as surv v ng spouse a�d
<br /> _ widow.
<br /> _^. (3) There 1s no Federal Estate i'ax, Nebraska Inheritance Tax or
<br />:..;.;�, Nebraska Estate Tax.
<br />-_ (4) Title to the following described real estate 1s held by the
<br /> - - Oecedent and the surv9ving spouse of the Decedent in 3oint tenance, to-wits
<br /> -_:�
<br /> *' A. Home, 1906 Stolley Park Circle, Grand Islan d� Nebraska 68803,
<br /> _;:�= Lot Two, Park Gardens Fourth Subdivision i� the City of Grand
<br /> �°�-_..-- tcland, Nall County, Nebraska,
<br />�K
<br /> . Q (5) As of date of death, the real estate has a fair� market value of
<br /> �� S 92,9fi0.00.
<br /> ti �� (6) The Decedent and Affiant were married as of date of death. There is
<br />_;�.. � ��-.. no Nebraska Inheritance Tax lien by reason of Nebraska Revised Statutes Sectio�
<br /> - "°f "�' 77-2003. There is no Nebraska estate tax lien by reason oF Nebraska Revised
<br /> �. `. .a ,:���...�;:�: . -
<br /> Statutes Section 77-2102.
<br /> ; �°�"~`.�s:.�'. FURTHER, Affiant saith not. '
<br /> �"'�°". p�; d�%�Z�,
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<br /> � .�:� . , :. ;.:., , � Aff�nt �
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<br /> � �y�. ��h"��°`. � n to before me th' ,� day �j vembe s 1993.
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<br /> �..:•.s:... ary Pub ic
<br /> .. -. . � STATE OF NEBRASKA ) ,
<br /> � ) ss.
<br /> �- � :. �.-,:�' -- " COUNTY OF HALL )
<br /> G.. t .
<br />-�,.�- Fi led for record and entered i n Numberical i ndex on day of
<br /> • �� � 1993, at _, o'clock _.M., recorded in Deed Record , �e .
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<br /> _ � Register of Dee s or County er
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