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AFFIDAVIT FOR TRANSFER OF REAL PROPERTY PURSUANT TO NEB. REV. STAT. § 30- 24,129 STATE OF NEBRASKA ) ss. COUNTY OF LANCASTER ) Affiant, Phyllis Dreher, duly sworn, states: 201505748 1. Affiant is the daughter of Dallas M. Frohling ( "Decedent "), who died on May 31, 2015, as shown by the original Certificate of Death attached hereto as Exhibit "A" and by this reference incorporated herein. 2. Thirty (30) days have elapsed since the death of the Decedent. 3. No application or petition for the appointment of a personal representative is pending, nor has any court appointed a personal representative, in any jurisdiction. 4. Affiant is entitled to payment and delivery of all real property in the possession of others and in the sole name of Decedent pursuant to Nebraska Probate Code section 30- 24,125, including the following described real property: Lot Five (5), Block Two (2), Dale Roush Subdivision, Hall County, Nebraska. Affiant's entitlement is based upon her status as daughter and heir of the Decedent. Affiant has made an investigation and has not been able to determine any subsequent will that would affect her entitlement. No other person has a right to the interest of the Decedent in the described property. 5. Pursuant to Nebraska Probate Code section 30- 24,126, the person paying, delivering, transferring or issuing personal property, or the evidence thereof, pursuant to this affidavit is discharged and released to the same extent as if the person had acted at the direction of a personal representative of the Decedent. The person is not responsible for the application of the personal property or evidence thereof, or required to inquire into the truth of any statement in this affidavit. 6. This affidavit is given as evidence pursuant to Neb. Rev. Stat. § 77 -2003 (Reissue 1996) that no Nebraska inheritance tax lien arising from the death of Decedent can attach to the above described real property. 7. The gross estate of Decedent is less than the amount excluded for federal estate tax purposes. Therefore, no federal estate tax return is required. No federal estate tax is due.