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��� <br />�� <br />0 �� <br />� � <br />�� <br />� ��� <br />- .�� <br />,� ��■ <br />.�� <br />� <br />�� <br />�� <br />� <br />A � <br />� <br />��� <br />�� <br />Return to: Ralph A. Bra.dley <br />P.O. Box 639 <br />Grand Island, NE 68802-Ob39 <br />rv <br />� � C� {J7 <br />C <br />.�. m �.? �....�. C DD C'� <br />� � ° z •—i PV <br />r i • ,'_�,.� -{ t't7 <br />�. � � � 0 � <br />O "� � � <br />� � � Z <br />r+T <br />N z rn ~ <br />� � 2t tn p <br />� 3 r� <br />� r m. .�,] <br />� � �--� cn <br />0 0 7� -C <br />r''� C� ...,� � 1--► � <br />� � � � <br />� <br />AFFIDAVIT OF MARITAL STATUS <br />Comes Now, the undersigned, being first duly sworn upon oath, deposes and states that <br />she is the surviving spouse of the Decedent and that the following information is true and <br />conect. <br />1. <br />2 <br />3. <br />� <br />Lots Four (4) and Five (5), Block One (1), West Park Addition <br />to the City of Grand Island, Hall County, Nebraska <br />� <br />� <br />Name of Decedent: Richard T. Strickland <br />Date of Dea.th: March 22, 2011 <br />Domicile at Death: Hall County, Nebraska <br />Name of Surviving Spouse: Nina I. Strickland , <br />Date of Marriage: Apri127, 1974 <br />The Affiant is the surviving spouse of the Decedent and in that capacity is <br />familiar with the marital status and the death of the Decedent. <br />Thax there is no federal estate tax, Nebraska inheritance tax or Nebraska. estate tax <br />due. <br />Title to the following described real estate is held by the Decedent and the <br />surviving spouse in joint tenancy, to wit: <br />As of the date of death, the real estate had a fair market value of $98,563.00 total. <br />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 Sta.tute § <br />77-2003. There is no Nebraska esta.te tax lien by reason of Nebraska Revised <br />Statute §77-2102. <br />FURTHER TffiS AFFIANT SAYETH NOT. <br />� � • ��LG���1' <br />Nina I. Strickland, Affiant <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) <br />) ss: <br />) <br />SUBSCRIBED and swom to before me on this <br />2011, by Nina I. 5trickland Affiant. <br />�%�of j , <br />0/� <br />. , <br />GENERAL NOTARY - � � Nefuaska <br />`��� �' �� No Public <br />MY Cm►nn. Exp. Jan. s, ?Al2 'ta1 y <br />