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in <br /> r s <br /> IT v,c R = <br /> OP <br /> N- r'' D p , <br /> ✓ r-i _ rn 7 <br /> 4x <br /> W 1 a' c. ,'J c-> Cl) <br /> 712 r 4> a7 PtT <br /> AFTER FILING, RETURN DOCUMENT TO: /A/4' �or f,w 6.-' e�X S3/ <br /> 6"toz <br /> AFFIDAVIT FOR SUCCESSION TO r.0 <br /> REAL PROPERTY WITHOUT PROBATE ha <br /> STATE OF NEBRASKA ] <br /> ]ss <br /> COUNTY OF HALL ] <br /> The undersigned Affiant, upon being first duly sworn, does hereby depose and state: <br /> 1. The value of the real property located in Nebraska and owned by Connie <br /> Olivo, Deceased, does not exceed $50,000. The real estate is owned by Decedent as a <br /> sole owner and is legally described as follows: <br /> The East Half (EY2) of Lot Seven (7) and the Westerly Three Feet <br /> (W3') of Lot Eight (8), Block Thirty-seven (37), Russel Wheeler's <br /> Addition to the City of Grand Island, Hall County, Nebraska. <br /> 2. More than thirty (30) days have elapsed since the death of the Decedent. <br /> Connie Olivo died on August 14, 2015. A certified copy of the Decedent's death certificate <br /> is attached to this Affidavit. <br /> 3. No application or petition for the appointment of a personal representative is <br /> pending or has been granted in any jurisdiction. <br /> 4. The Decedent left a Will which devised and bequeathed the above- <br /> described real estate to her son, Daniel J. Lopez. A copy of the Will is attached to this <br /> Affidavit. <br /> 5. No persons other than Daniel J. Lopez have a right to the interest of the <br /> Decedent in the above-described property. <br /> 6. Affiant swears that all statements in this Affidavit are true and material and <br /> further acknowledges that any false statement may subject her to penalties relating to <br /> perjury under Section 28-915. <br /> '?0d.R. 0.. 4 <br /> ROSE A. LOPEZ, Executor of C ni o's Will <br /> and Daughter of Connie Olivo <br /> Subscribed and sworn to before me this 2. 6 771 day of _ e liu &.2, 2016 <br /> by Rose A. Lopez, personally known to me or who has produced satisfactory evidence of <br /> identification to me. <br /> Notary Public -----T <br /> j4:1ERALNOTPAY-State o*brads <br /> VINCENT L DOWDING <br /> MyComm.Gip.December 29,2018 <br />