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(0 vi I STATE OF NEBRASKA ) s .s. COUNTY OF HALL ) ( Return to: Jamie Mues Jankovitz P.O. Box 639 Grand Island, NE 68802 -0639 Affidavit for Transfer of Real Property without Probate Page 1 of 2 ti r N) Cn I, Wayne W. Radcliff (aka Wayne Radcliff), husband, under penalty of perjury (Nebraska Revised Statute §28 -915), affirm the following to be true: 1.) Thirty days have passed since the death of Maxine Radcliff (aka Maxine Eva Radcliff), wife, and I have attached to this affidavit a certified or authenticated copy of the death certificate; 2.) The deceased is the sole owner of an undivided one half interest in the real property described as Lot Nine (9) of Lambert's Subdivision of part of the Northwest Quarter of the Southeast Quarter of Section Ten (10), in Township Eleven (11) North, Ragne Nine (9), West of the 6th P.M. in Hall County, Nebraska, as surveyed, plotted and recorded. (Physical address - 515 Congdon Ave., Grand Island, Nebraska); 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 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 $21,748.00; 4.) There is no Personal Representative, application for Personal Representative, or petition for Personal Representative either pending or granted in another court;