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V� <br />rn <br />C <br />v <br />M <br />N ® <br />*)� STATE OF NEBRASKA <br />1, <br />COUNTY OF HALL <br />ss. <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: Raymond C. Oltman <br />Date of Death: April 30, 2002 <br />Domicile at Death: Cairo, Hall County, Nebraska <br />Name of Surviving Spouse: Sean M. Oltman <br />Date of Marriage: August 8, 1945 <br />2. The Affiant is the daughter 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 tax 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 />Lot Three (3), Block One (1), 8 "h Addition to Cairo, Hall <br />County, Nebraska. <br />5. As of the date of death, the real estate had a fair market <br />value of $90,612.00. <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 tax lien by reason of Nebraska Revised Statute §77 -2102. <br />FURTHER Affiant saith not. <br />Cheryl K. C mer <br />rn <br />C <br />n X <br />N ® <br />o <br />GD <br />T <br />D Q <br />i <br />': <br />C A <br />tD <br /># <br />__ _4 <br />N <br />T= <br />M <br />i.9 L -� <br />5 <br />j 3 <br />�, pp <br />M <br />€e') <br />p <br />t <br />µ3 <br />- h <br />7� <br />�- <br />e� i° <br />r <br />cr) <br />O <br />cn <br />N <br />W <br />m <br />F--� c <br />co <br />3 <br />co <br />200206329 <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: Raymond C. Oltman <br />Date of Death: April 30, 2002 <br />Domicile at Death: Cairo, Hall County, Nebraska <br />Name of Surviving Spouse: Sean M. Oltman <br />Date of Marriage: August 8, 1945 <br />2. The Affiant is the daughter 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 tax 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 />Lot Three (3), Block One (1), 8 "h Addition to Cairo, Hall <br />County, Nebraska. <br />5. As of the date of death, the real estate had a fair market <br />value of $90,612.00. <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 tax lien by reason of Nebraska Revised Statute §77 -2102. <br />FURTHER Affiant saith not. <br />Cheryl K. C mer <br />