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Return to: <br />�J <br />OR <br />Jamie Mues Jankovitz <br />P.O. Box 639 <br />Grand Island, NE 68802 -0639 <br />Affidavit for Transfer of Real Property without Probate <br />STATE OF NEBRASKA ) <br />) s.s. <br />COUNTY OF HALL ) <br />Page 1 of 2 <br />I, Susan Elaine Hicks, fka Susan Elaine Brandon, under penalty of perjury (Nebraska <br />Revised Statute §28 - 915), affirm the following to be true: <br />1.) Thirty days have passed since the death of Mark F. Brandon, and I have attached to <br />this affidavit a certified or authenticated copy of the death certificate; <br />2.) The deceased is the owner of one third interest in an undivided one half interest in <br />the real property described as: <br />Lot Four (4), and the Easterly one half of Lot Five (5), Block Two (2), <br />Madelin Fry's Addition to Doniphan, Hall County, Nebraska. <br />(Physical address - 109 E. Plum St., Doniphan, Nebraska); <br />3.) Based on the assessed value of the real property through the County <br />Assessor /Register of Deeds in the year of death, less real estate taxes and interest on the <br />real estate taxes if any is due at the time of death, the value of all the real preperty in <br />Nebraska belonging to the deceased is $50,000.00 or less and the value of the entire estate <br />(real property value plus personal property value) is S11,408.34. <br />4.) There is no Personal Representative, application for Personal Representative, or <br />petition for Personal Representative either pending or granted in another court; <br />5.) Xi I am the surviving spouse of the deceased and am entitled to the real <br />property by reason of the homestead allowance, exempt property allowance, family <br />allowance, or by intestate succession pursuant to Nebraska Probate Code §30 -24, 129 <br />❑ I am entitled to the real property per the will of the deceased and I have made <br />an investigation and have been unable to determine any subsequent will; <br />2' <br />