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- <br />� <br />N � <br />0 <br />� ��� <br />N � <br />e � <br />� � <br />� -- <br />� <br />� <br />�� <br />�� <br />�3 p <br />� <br />� <br />$ W <br />l � <br />U9 � <br />I �r�r� <br />� CJ <br />� ��n� <br />� <br />�� <br />�.A � <br />� <br />CiJNNINGHAM, BLACKBURN, FRANCIS, <br />BROCK & CUNNINGHAM <br />ATTORNEYS AT LAW <br />P.O. BOX 2280 <br />GRAND ISLAND, NE 68802 <br />Affidavit for Transfer of Real Property <br />Without Probate Under the Nebraska <br />Probate Code <br />� <br />� <br />C <br />,� �� <br />� � <br />L <br />� <br />� <br />('..� � <br />f.=! <br />'.. �1 � � <br />� C� D � 'v � D � <br />� � � � _ � -1 N `� <br />f� � ~ �:'�� :-= --� rn , <br />�'y � c-' `- -< g �� <br />� " {-� � � �, <br />_�- , ` . O 'Tl <br />{`i � �� � .` -v _�� <br />'; °J D '�' C� _'l <br />; ; ; -� �-- z, ;. <br />� _-:� �- � � :;� <br />.� � �_� � � <br />�J �;- �� � =�� <br />r" jy _.0 � <br />f ' r � , {^-� �.� �� <br />r> (�"� C!� F�a <br />CIi i � � <br />.AFFIDAVIT FOR TRAN5FER OF REAL PROPERTY <br />WITHOUT PROBATE UNDER THE NEBRASKA PROBATE CODE <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) <br />) ss: <br />) <br />�� <br />f �, � . <br />�,� <br />Affiant, James E. Ross, after being first duly sworn on oath, deposes and states as follows: <br />1. That Affiant is the surviving spouse of Janet M. Ross also known as Janet Marie <br />Ross, who died September 9, 2012, as shown by the certified copy of the Decedent's death <br />certifica.te attached hereto as Exhibit "A" and by this reference incorporated herein; that Exhibit "A" <br />is a certified copy of the original Certificate of Death on file with the Bureau of Vital Statisrics, <br />Department of Health, State of Nebraska. <br />2. That Decedent and Affiant owned the following described real properties, as joint <br />tenants, not tenants in common with rights of survivorship: <br />(a) 1'he Southerly Forty-One Feet (S41') and Two Inches (2") of Lot Four <br />(4) and the Southerly Forty-One Feet (S41') and Two Inches (2") of the <br />Easterly Two Feet (E2') of Lot Five (5), all in BIock Forty-Eight (48) in <br />Russel Wheeler's Addition to the City of Grand Island, Hall County, <br />Nebraska <br />(b) <br />(c) <br />(d) <br />Lot Four (4), Ross Heights Fourth Subdivision to the City of Grand <br />Island, Hall County, Nebraska (la►own as 3027 Idaho Avenue) <br />Lot One (1), Ross Heights Fourth Su6division to the City of Grand <br />Island, Hall County, Nebraska (l�own as 3015 Idaho Avenue) <br />Lot Ten (10), Ross Heights Subdivision in the City of Grand Island, <br />Hall County, Nebraska <br />(e) Lot Twelve (12), and the South Half (Sl/2) of Lot Ten (10) in Block <br />Fourteen (14) in College Addition to West Lawn in the City of Grand <br />Island, Hall County, Nebraska <br />Place <br />(� Lot Twenty (20), Block Four (4) in Ashton�, an Addition to the City <br />of Grand Island, Hall County, Nebraska <br />(g� Lot Ten (10), Kallos Subdivision in the City of Grand Island, Hall <br />County, Nebraska <br />