Laserfiche WebLink
— <br />� <br />N � <br />B <br />� <br />� � <br />� <br />� <br />cn � <br />— <br />� <br />� <br />undersigned knows the Decedent and the surviving spouse of the Decedent and that the following <br />_ � <br />� � <br />� <br />AFFIDAVIT OF MARITAL STATUS <br />} <br />�� <br />r ; <br />r i'°, � <br />c? r' <br />Ca . <br />� �� <br />�n � <br />—� <br />r� <br />� <br />p � <br />— `1 e. <br />o �,'<. <br />m � <br />� �� <br />n7 <br />�� <br />f� <br />�. <br />� <br />N <br />� <br />� <br />� <br />� <br />O <br />F--` <br />� <br />C7 G� <br />O —� <br />c D <br />z --{ <br />--1 � <br />'� O <br />o � <br />� -� <br />s m <br />D � <br />r � <br />r m <br />� <br />� <br />D <br />� � <br />� <br />� <br />Comes Now, the undersigned, being first duly sworn upon oath, deposes and states that the <br />information is true and correct. <br />Name of Decedent: Richard R. Alexander <br />� <br />3. <br />� <br />5. <br />6. <br />O <br />N <br />O <br />�d <br />k-� <br />O <br />� <br />� <br />� <br />C1'1 <br />ki � <br />1 <br />� <br />r <br />;�� <br />J. <br />5=: <br />t'' <br />-,� <br />Date of Death: December 24, 2009 �f7 <br />Domicile at Death: Hall County, Nebraska �D '� <br />Name of Surviving Spouse: Kareen C. Alexander <br />Date of Marriage: July 14, 1979 <br />The Affiant is the spouse of the Decedent and in that capacity is familiar with the <br />marital status and the death of the Decedent. <br />That there is no federal estate ta�c, Nebraska inheritance tax or Nebraska estate tax <br />due. <br />Title to the following described real estate is held by the Decedent and the surviving <br />spouse in joint tenancy, to wit: <br />Lot 19, in Block 6, Unit Two, Continental Gardens, an Addition to the City <br />of Grand Island, Hall County, Nebraska <br />As of the date of death, the real estate had a fair market value of $95,207.00. <br />The Decedent and the surviving spouse were married as of the date of death. There <br />is no Nebraska inheritance tax lien by reason of Nebraska Revised Statute § 77-2003. <br />There is no Nebraska estate tax lien byreason ofNebraska Revised Statute §77-2102. <br />FURTHER THIS AFFIANT SAYETH NOT. <br />� �� � <br />K een C. Alexander, A fiant <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />!� <br />C <br />� � <br />� � � <br />� � <br />) <br />) ss: <br />) <br />SUBSCRIBED and sworn to before me on this � day of ,�_, 2011 <br />by Kareen C. Alexander, Affiant. <br />GENERAL �10T�f - �ate of Nebraska <br />JAMIE MUES JANKOVITZ <br />My Comm. Exp. N1ay 25, 2014 <br />PREPARED BY: ���/ � N U <br />Jamie Mues Jankovitz, #20754 <br />BRADLEY, ELSBERND, ANDERSEN, <br />KNEALE & MUES JANKOTIVZ, P.C. <br />202 West Third Street <br />P.O. Box 639 <br />Grand Island, NE 68802 <br />Telephone: (308} 382-2128 <br />�,r % <br />i�T��J�r_ _ l� � , ir. � <br />i . • � i <br />