Laserfiche WebLink
<br />-oe);G <br />~o" ~ <br />~ , 01 <br />'S ~ c.- ;t <br />~~ " < <br />H~ P\ <br />c.. C ......., <br />-<::l- <br />~ 3 <br />,.. c.....L <br />~ (b <br />"" ~ <br />6"'- <br />"'" <br />~ <br />t' <br /> <br /> t10 Q~ <br /> m <br /> ..., m en <br /> c: ox <br />() Z ?\ <br />J: no <br />;11 >~ S' <br />n (I) <br />~ ::z: ~ <br /> 0 <br /> <br />200704558 <br /> <br /> i".....,~\ ga <br /> It~ ("") en <br /> "'".~~ oat <br /> _.1 0 -., <br /> ,J__~ C :r:::~ ~[ <br /> , ,,- -"'~ <br />i~~ ~"l c= --l rt-j <br />Z (:) <br />~-; (" ,~,: -< c Gr <br /> ...:...(\.. 0 .,-, C) <br />(::0' 'I,. <br />--", -C --,.-, ,....-.. -...J ~ <br /> " :n <br />..., " ".' <br />rr: \', =n T:;. ru c::> <br />, " f: :3 =1) <br />:::::.) r- ::"" -C <br />(j" f--> (/J ! <br /> ;;~ ....... :;><: <fl <br /> \'- >- CJ1 <br /> f--> -- <br /> CJ1 C/J CO i!F <br /> (f) <br /> <br />N <br />is <br />lS) <br />-...,J <br />lS) <br />+:>. <br />(Jl <br />CJ'1 <br />CO <br /> <br />AFFIDAVIT OF MARITAL STATUS <br /> <br />STATE OF NEBRASKA ) <br />) 55. <br />COUNTY OF HALL ) <br /> <br />(, .00 <br /> <br />COMES NOW, the undersigned, being first duly sworn upon oath, and deposes and <br />states that the undersigned knows the Decedent and the surviving spouse of the Decedent <br />and that the following information is true and correct. <br /> <br />1. Name of Decedent: Donald L. Harmon <br />Date of Death: April 29, 2007 <br />Domicile at Death: Grand Island, Hall County, Nebraska <br />Name of Surviving Spouse: Ann B. Harmon <br />Date of Marriage: February 21, 1955 <br /> <br />2. The Affiant is the daughter of the Decedent and, in that capacity, is familiar with <br />the marital status and the death of the Decedent. <br /> <br />3. That there is no federal estate tax, Nebraska inheritance tax or Nebraska estate <br />tax due. <br /> <br />4. Title to the following described real estate is held by the Decedent and the <br />surviving spouse in joint tenancy, to-wit: <br /> <br />The South Half (81/2) of Lot Thirteen (13), and all of Lot Twelve (12), Block <br />Nine (9), Harrison's Subdivision to the City of Grand Island, Hall County, <br />Nebraska. <br /> <br />5. As of the date of death, the real estate had a fair market value of $93,215.00. <br /> <br />6. The Decedent and the surviving spouse were married as of the date of death. <br />There is no Nebraska inheritance tax lien by reason of Nebraska Revised Statute ~77- <br />2003. There is no Nebraska estate tax lien by reason of Nebraska Revised Statute ~77- <br />2102. ' <br /> <br />FURTHER Affiant saith not. <br /> <br />:;?~ a0:l~ <br /> <br />Patricia A. Irvine <br /> <br />I)qll.. <br />Subscribed and sworn to before me thisq-.. day of May, 2007. <br />~~' <br />otary Public <br /> <br />~"---.~" <br /> <br /> <br />IEaIOT.._ of IUraSk:. <br />PAULE. SUWVAh <br />... am <br />