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<br />200800685
<br />AFFIDAVIT OF MARITAL STATUS
<br />
<br />\tJ S\J
<br />
<br />Comes Now, the undersigned, being first duly sworn upon oath, deposes and states that the
<br />undersigned knows the Decedent and is the surviving spouse of the Decedent and that the following
<br />information is true and correct.
<br />1. Name of Decedent: Irvin L. V odehnal
<br />Date of Death: December 11, 2007
<br />Domicile at Death: Grand Island, Hall County, Nebraska
<br />Name of Surviving Spouse: Jo Ann Vodehnal
<br />Date of Marriage: February 24, 1954
<br />2. The Affiant is the surviving spouse of the Decedent and in that capacity is familiar
<br />with the marital status and the death of the Decedent.
<br />3. That there is no federal estate tax, Nebraska inheritance tax or Nebraska estate tax
<br />due.
<br />4. Title to the following described real estate is held by the Decedent and the surviving
<br />spouse in joint tenancy, to wit:
<br />Lot Thirty Two (32), in West Heights Addition to the City of Grand Island, Hall
<br />County, Nebraska.
<br />5. As of the date of death, the real estate had a fair market value of $37,091.00.
<br />6. The Decedent and the surviving souse were married as of the date of death. There is
<br />no Nebraska inheritance tax lien by reason of Nebraska Revised Statute ~ 77-2003.
<br />There is no Nebraska estate tax lien by reason ofN ebraska Revised S tatute ~ 77 - 2102.
<br />
<br />FURTHER THIS AFFIANT SA YETH NOT.
<br />
<br />*. /'~
<br />' .. (, 'Y\.,/1/\-,' '
<br />J, n ~Odehnal,~ffiant
<br />
<br />STATEOFNEBRASKA )
<br />) ss:
<br />COUNTY OF HALL )
<br />
<br />SUBSCRIBED and sworn to before me on this ,:JJ'f!1 day oK
<br />by J 0 Ann V odehnal, Affiant. -
<br />
<br />GENERAL NOTARY. State of Nebraska
<br />JAMIE MUES JANKOVITZ
<br />My Comm. Exp. May 25, 2010
<br />
<br />~
<br />!<lAL.ut,d'- '
<br />
<br />,2008
<br />
<br />
<br />~}yPubiic.7)'tLLH-'~' LL"~
<br />
<br />PREPARED BY:
<br />Thomas A. Emerton, #11184
<br />BRADLEY, ELSBERND, EMERTON,
<br />ANDERSEN & KNEALE, P.c.
<br />202 West Third Street
<br />P.O. Box 639
<br />Grand Island, NE 68802
<br />Telephone: (308) 382-2128
<br />
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