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�� <br />�� <br />N � <br />0 �� <br />�� <br />� �� <br />N '� <br />0 �� <br />� - <br />� <br />� = <br />��■ <br />�� <br />�� <br />�� <br />� o <br />� <br />�' � m <br />3 �' <br />� � <br />� C!1 ::. <br />� �,, <br />�� <br />€�A `� � <br />� ; t- <br />�� �`� �� <br />�i <br />,� � � <br />�� N � <br />Return To: <br />B.J. CUNNINGHAM <br />CUNIVINGHAM LAW OFFICE <br />P.O. BOX 2280 <br />GRAND ISLAND, NE 68802 <br />Small Estate Affidavit <br />� <br />� <br />� <br />� <br />���, <br />$ � <br />@ <br />� <br />�� <br />� <br />a: <br />� <br />O <br />�- ., <br />} �.� <br />�� <br />� � <br />� <br />�.—_ <br />�� r <br />'� _' C.�.� <br />F-- <br />� <br />� <br />t--�► <br />r� <br />(,t � <br />N <br />c� cn <br />o --� <br />c � <br />Z <br />� m <br />� a <br />O T <br />�t � <br />�: i �� <br />� �.�� <br />r � <br />r c> <br />� <br />� <br />Z- <br />..� � <br />cn <br />� <br />N <br />O <br />� <br />fV <br />O <br />� <br />N <br />� <br />CO <br />F_Y <br />��_ <br />�x <br />+�eo <br />� <br />_. <br />A <br />.v <br />� <br />SMALL ESTATE AFFIDAVIT FOR SUCCESSION OF REAL PROPERTY <br />AS PROVIDED BY SECTIONS 30-24.125 AND 30-24,129 RRS NEBRASKA. LAWS 2010, �� <br />L.B. 650. SEC°l'ION 2 /J� <br />The undersigned Paul A. Lemke being first duly swom on oath, deposes and states as <br />follows: <br />1. That Affiant is the surviving spouse of Linda Lemke, also known as Linda Kay <br />Lemke and Linda K. Lempke who died intestate at Kapaa, Kauai, Hawaii on November 20, 2007, <br />owning the following described property: <br />An undivided one-third (1/3) interest in Lot One (1) Ed Ross Subdivision No. 3 in <br />Hall County, Nebraska, known as 4943 N. St. Paul Road, Grand Island, Nebraska <br />2. The value of the Decedent's one-third (1/3) interest in the above-described real <br />property is the sum of Fifteen Thousand Eight Hundred Twenty and 00/100 Dollars ($15,820.00). <br />The entire property was valued by the Hall County Assessor on the County Assessment rolls at <br />Forty-Seven Thousand Four Hundred Su�ty and 00/100 Dollars ($47,460.00) for the year 2007, the <br />year in which the Decedent died. <br />3. Decedent left surviving her spouse, Paul A. Lemke bom 6/5/60 and two sons, Paul <br />N. Lemke born 1/8/90 a.nd Taylor K.A. Lemke bom 11/23/95, both residents of Ka.uai, Hawaii. <br />4. More than thirty (30) days have elapsed since the death of the Decedent, as shown <br />by the original of the Decedent's Death Certificate issued by the State of Hawaii, Department of <br />Health on the 20th day of November, 2007, and hereto atta.ched and marked as Exhibit "A" and <br />made a part hereof. <br />5. No Application or Petition for Appointment of a Personal Representative is pending <br />or has been granted in any jurisdiction. <br />6. Applicant as the claiming successor is entitled to Decedent's above-described real <br />property by reason of the statutes of the State of Nebraska. The Decedent left �ant as surviving <br />spouse and two sons above named; that pursuant to the Nebraska statutes above described, Affiant <br />as surviving spouse is entitled to claim the first Thirty Thousand and 00/100 Dollars ($30,000.00) <br />of property owned by the Decedent and does hereby claim the above-described real property as part <br />of that allowance. <br />