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5.) I am the surviving husband of the deceased and am entitled to the <br />real property oy reason of the homestead allowance, exempt property allowance, family <br />allowance, or by intestate succession pursuant to Nebraska Probate Code §30 -24, 129 <br />OR <br />❑ I am entitled to the real property per the will of the deceased and I <br />have made an investigation and have been unable to determine any subsequent will. The <br />following are named heirs: Husband, Wayne W. Radcliff. <br />6.) No other person has a right to the real property; <br />7.) I will file this affidavit with the Register of Deeds Office of the county in which <br />the real property is located (Hall County); and <br />8.) I will file the affidavit and certified or authenticated copy of the death certificate <br />in any other county in Nebraska in which the deceased owns real property that is subject <br />to this affidavit. <br />Attachment: Certified or authenticated copy of Death Certificate <br />DATE: ! D , 2017. <br />STATE OF NEBRASKA) <br />) s.s. <br />COUNTY OF HALL ) <br />This document was acknowledged before me on the /D day of <br />Wayne W. Radcliff. <br />GENERAL NOTARY - State of Nebraska <br />JAMIE MUES JANKOVITZ <br />My Comm. Exp. May 25, 2018 <br />Page 2 of 2 <br />Wayne W. Radcliff, Affiant <br />1511 %z E. 7 St. <br />Grand Island, NE 68801 <br />201704941 <br />, 2017, by <br />