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RETURN TO: i rn 6. No other person has a right to the real property; AFFIDAVIT FOR TRANSFER OF REAL PROPERTY WITHOUT PROBATE r ' 00 STATE OF NEBRASKA ) • ) SS: 310 COUNTY OF HALL ) I, LEROY C. HOELCK, under penalty of perjury (Nebraska Revised Statute §28 -915), affirm the following to be true: 1. Thirty days have passed since the death of MARGARET A. HOELCK and I have attached to this affidavit a certified or authenticated copy of the death certificate; 2. The deceased owns an undivided one -fourth interest in the real property described as set forth on attached Exhibit "A"; 3. Based on the assessed value of the real property through the County Assessor/Register of Deeds in the year of death, less real estate taxes and interest on the real estate taxes if any is due at the time of death, the value of deceased's interest in all the real property in Nebraska belonging to the deceased is $50,000.00 or less and the value of the entire estate (real property value plus personal property value) is $14,000.00; 4. There is no Personal Representative, application for Personal Representative, or petition for Personal Representative either pending or granted in another court; 5. I am entitled to the real property per the will of the deceased and I have made an investigation and have been unable to determine any subsequent will;