Laserfiche WebLink
�� <br />� <br />�� <br />N � <br />� �� <br />�� <br />� �� <br />� �� <br />� <br />�r■ <br />�� <br />�� <br />�� <br />� <br />2 <br />�� <br />�� �:. <br />� 1 <br />� <br />v <br />�a <br />,� <br />AFFIDAVIT OF MARITAL STATUS <br />3. <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) <br />� S5. <br />) <br />r� <br />�� <br />� <br />c._ <br />� <br />� � <br />c� <br />� <br />� <br />H--* <br />� <br />� <br />� <br />2 <br />� <br />c� U, � <br />c7 --� � <br />c z� <br />� --+ C� <br />� � � <br />� � �7 <br />� <br />� n i .(J) <br />n c.n ..i <br />� =� m <br />�� � <br />cn <br />�` O <br />� � <br />� � <br />m <br />v <br />� <br />COMES NOW, the undersigned, being duly sworn, depases and states that the undersigned <br />is the surviving spouse of the Decedent, and that the following information is true and correct: <br />1 <br />!� <br />Lot Two (2) in Block Two (2) in West Bel Air Fourth <br />Additian in the City of Grand Island, Hall County, Nebraska. <br />5 <br />C� <br />� <br />� <br />�- <br />� <br />Qa <br />r> <br />� <br />�, <br />Q <br />� <br />201iU0444 <br />Name of Decedent: <br />Date of Death; <br />Domicile at Date af Death: <br />Date of Marriage: <br />� <br />�n �' .. <br />� <br />Jimmie Gerald Nelson <br />November 27, 2010 <br />Grand Island, Hall County, Nebraska <br />August 19, 1991 <br />The Affiant is the surviving spouse of the decedent. - <br />Tlaere is no Federal Estate Tax, Nebraska Inheritance Tax or Nebraska Estate Tax <br />that arose, or can arise, by virtue af th� Decedent's death. <br />Title to the following described real estate was laeld by the Decedent and Jane D. <br />Nelson, the Decedent's spouse, on the date af the Decedent's death, to-wit: <br />As of the date of death, the real estate has a fair market value of $107,952.00. <br />The Decedent and Jane D. Nelson were married as of the date of death af Novembcr 27, <br />2p10. There is no Nebraska Inheritance Tax lien. <br />/:�►i 7 �1171 Y: i �l ����.� �_I:��� I�Y:l_���1►[��M <br />NE D. NELS�N <br />M <br />Subscribed and sworn to before me this day of January 2011, <br />� . � <br />Nota Public <br />�IIL�'�AN�-�dq�� <br />1(�VIN A. IKiQBTROM <br />CenNq, �011 <br />c� <br />rv <br />� <br />� <br />�..► <br />t� <br />c� <br />� <br />� <br />� <br />� <br />M <br />O <br />C�I) <br />� <br />.-�-1 <br />C <br />m <br />� <br />� <br />r !�, <br />r �v <br />5 j <br />