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COMES NOW, the undersigned, Minnie Williams, being duly sworn, deposes <br />and says 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: Isaac Ford <br />Date of Death: December 15, 1989 <br />Domicile at Date of Death: Hall County, Nebraska <br />Name of Surviving Spouse: Genevieve Louise Ford, also known as Genevieve <br />Ford, who died November 5, 2001 <br />Date of Marriage: October 5, 1945 <br />2. The Affiant is related to the Decedent as follows: sister -in -law and sister of <br />Genevieve Louise Ford a/k/a Genevieve Ford <br />3. There is no Federal Estate Tax, Nebraska Inheritance Tax or Nebraska Estate Tax. <br />4. Title to the following described real estate is held by the Decedent and the <br />surviving spouse of the Decedent, who is now deceased, in joint tenancy, to wit: <br />Lots Forty-seven and Forty-eight (47 & 48), in Belmont Addition to the <br />City of Grand Island, Hall County, Nebraska <br />5. As of date of death, the real estate has a fair market value of $40,000.00. <br />6. The Decedent and Genevieve Ford were married as of date of death. There is no <br />Nebraska Inheritance Tax lien by reason of Nebraska Revised Statutes Section <br />77 -2003. There is no Nebraska estate tax lien by reason of Nebraska Revised <br />Statutes Section 77 -2102. <br />FURTHER Affiant saith not. <br />Affiant, Minnie Williams <br />Subscribed and sworn to before me this c>2 Vid— day of 2002. <br />E GENERAL NOTARY -Buts of nabraska KCd <br />SHEILA BARBER Notary Public <br />My Comm. Do. Mlarc 2, 200: <br />- :� <br />X <br />m <br />T <br />2 D <br />C) <br />v <br />C <br />C <br />m x <br />Cn <br />C) <br />N <br />C> <br />C= <br />O <br />` <br />m <br />N N <br />'1' <br />7C <br />C�' -M <br />a <br />S' <br />�° 1 <br />_ <br />o <br />� <br />c� <br />C <br />r- <br />— <br />o <br />t <br />IV <br />3 <br />r— <br />cn <br />c�ia <br />Y" <br />F-' <br />eb N <br />o' <br />co <br />AFFIDAVIT <br />OF MARITAL STATUS <br />� <br />o <br />STATE OF NEBRASKA > <br />200205138 <br />) ss. <br />COUNTY OF HALL <br />) <br />COMES NOW, the undersigned, Minnie Williams, being duly sworn, deposes <br />and says 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: Isaac Ford <br />Date of Death: December 15, 1989 <br />Domicile at Date of Death: Hall County, Nebraska <br />Name of Surviving Spouse: Genevieve Louise Ford, also known as Genevieve <br />Ford, who died November 5, 2001 <br />Date of Marriage: October 5, 1945 <br />2. The Affiant is related to the Decedent as follows: sister -in -law and sister of <br />Genevieve Louise Ford a/k/a Genevieve Ford <br />3. There is no Federal Estate Tax, Nebraska Inheritance Tax or Nebraska Estate Tax. <br />4. Title to the following described real estate is held by the Decedent and the <br />surviving spouse of the Decedent, who is now deceased, in joint tenancy, to wit: <br />Lots Forty-seven and Forty-eight (47 & 48), in Belmont Addition to the <br />City of Grand Island, Hall County, Nebraska <br />5. As of date of death, the real estate has a fair market value of $40,000.00. <br />6. The Decedent and Genevieve Ford were married as of date of death. There is no <br />Nebraska Inheritance Tax lien by reason of Nebraska Revised Statutes Section <br />77 -2003. There is no Nebraska estate tax lien by reason of Nebraska Revised <br />Statutes Section 77 -2102. <br />FURTHER Affiant saith not. <br />Affiant, Minnie Williams <br />Subscribed and sworn to before me this c>2 Vid— day of 2002. <br />E GENERAL NOTARY -Buts of nabraska KCd <br />SHEILA BARBER Notary Public <br />My Comm. Do. Mlarc 2, 200: <br />- :� <br />