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<br /> 4> ~ ~ <br />~ oo <br />~+ n n <br />~ <br />~ r.: <br />~ <br />~ -, <br />a <br />z <br /> Z _ <br />~ <br />~ ~ ~' <br /> <br />as <br />1,, n <br />n v ~ ~.~ <br />~ <br />~~, ~_ <br /> <br />~ ~; <br />-+ m <br />"'^~ ~ 4 (~ n to ~ ~~;'`~ N ~ ~ --+ <br />~ ~ ~ ~ 1` ' C~ <br /> c~~ <br />~y : <br />~ rri <br />~_ ~ o ~ ~ ~ ~ ~ v~ ~ <br /> <br />~ <br />j ~ ~ ~ ~~ ~ <br />~ <br />~~ <br /> nn <br />O` <br />~ <br />+ <br /> <br /> <br /> <br /> 0 <br />-- AFFIDAVIT OF MARITAL STATUS <br />STATE OF NEBRASKA ) 2 O 1 0 0 0 111 ~' S0 <br />ss. <br />COUNTY OF HALL ) <br />COMES NOW, the undersigned, being duly sworn, deposes and states that the undersigned <br />is the surviving spouse of the Decedent, and that the following information is true and correct: <br />1. Name of Decedent: Karen Frances Hunt <br />Date of Death: July 21, 2010 <br />Domicile at Date of Death: Grand Island, Ha11 County, Nebraska <br />Date of Marriage: March 6, 1964 <br />2. The Affiant is the surviving spouse of the decedent. <br />3. There is na Federal Estate Tax, Nebraska Inheritance Tax or Nebraska Estate Tax <br />that arose, ar can arise, by virtue of the Decedent's death. <br />4. Title to the following described real estate was held by the Decedent and Gerald D. <br />Hunt, the Decedent's spouse, on the date of the Decedent's death, to-wit: <br />Lot One (1), in Block Nine (9), in Farkhill Third Subdivision, an Addition to <br />the City of Grand Island, Hall County, Nebraska. <br />S. As of the date of death, the real estate has a fair market value of $130,639.00. <br />6. The Decedent and Gerald D. Hunt were married as of the date of death of July 21, 2010. <br />There is no Nebraska Inheritance Tax lien, and no Nebraska inheritance tax lien. <br />AND FURTHER AFFIANT SAITH NOT. <br />ERALD D. HUNT <br />s'~' <br />Subscribed and swam to before me this p~ day of 2010. <br />Not Fublic <br />~ GENERAL NOTANY - 51ate o1 Nelxa~ca <br />KEVIN A. BR4STRpM <br />Nty Camm, Exp. Sept 25, 2010 <br />