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60 4 <br />Retum to Wroblewski & Gawrych'Law Office LLC {Space above this line for Recording Stamps} <br />Preparer: P.O. Box 23, St. Paul, NE 68873-0023 <br />state: <br />2 <br />n REA n <br />ix <br />D <br />n <br />5. At death, Decedent owned an interest in the following real estate: <br />SUCCESSION TO REAL PROPERTY BY AFFIDAVIT <br />FOR SMALL ESTATES <br />The undersigned affiant upon being first duly sworn, does hereby depose and <br />1. This affidavit is made pursuant to Nebraska Revised Statute § 30- 24,129 (1) <br />2. I am a legal resident of the State of Nebraska and I am of legal age. <br />3. Rosylra L. Stepanek, hereafter Decedent, died on April 6, 2003, as evidenced <br />on the Certified Death Certificate attached hereto. Thirty days have elapsed since the <br />Decedents death. <br />4. That I am the spouse of Roslyn L. Stepanek, the Decedent named above, <br />that I was married to the Decedent at the time of death. <br />An Undivided One -Sixth (1/6) interest in Lot Eight (8), Block Thirty -Four (34), <br />Original Town of Grand Island, Hall County, Nebraska, commonly known as 402- <br />404 -406 West Fourth Street and 410 North Walnut Street, Grand Island, <br />Nebraska. <br />6. The value of the Decedent's interest in all real property in the Decedent's <br />estate located in this state is $12,245.66, which does not exceed $50,000.00. (The <br />value of the Decedent's interest in the property is the value as shown on the <br />assessment rolls for the year in which the Decedent died.) <br />7. No Personal Representative has been appointed in any jurisdiction. No <br />application or petition for the appointment of a Personal Representative is pending or <br />has been granted in any jurisdiction. <br />ob <br />