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RETURN TO: Bacon & Vinton, LLC <br />P.O. Box 208, Gothenburg, NE 69138 <br />AFFIDAVIT FOR TRANSFER <br />OF REAL PROPERTY WITHOUT PROBATE <br />UNDER NEBRASKA PROBATE CODE <br />STATE OF NEVADA ) <br />) SS <br />COUNTY OF /Mk_ _ ) <br />The undersigned Christena A. Shives and Hjalmar B. Meyer (herein "Affiants "), upon being first <br />duly sworn, do hereby depose and state: <br />1. We are the only children of Colleen Meyer (herein the "Decedent "). The Decedent died <br />on October 1, 1997. On the date of her death, the Decedent was a resident of G A X County, <br />Nebraska. The Decedent's spouse, Frank Meyer, survived the Decedent but is now deceased. <br />1161/AOA <br />2. The value of the Decedent's interest in all real estate in the state of Nebraska subject to <br />probate proceedings on the date of the Decedent's death in 1997, did not exceed $25,000.00. <br />3. The Decedent died the owner of the following described real estate, to -wit: <br />An undivided 8% interest in: <br />Township Nine (9) North, Range Ten (10) West of the 6 P.M. Hall County, Nebraska <br />Section 21: The West 100 acres of the NE 1/4 <br />4. The Hall County Assessor valued the above property, for 1997 real estate tax purposes, at <br />$91,569.00. Therefore the Decedent's interest has a value of $7,325.52. <br />5. Thirty days have elapsed since the death of the Decedent, as evidenced by the Certified Copy <br />of the Death Certificate of the Decedent attached hereto as Exhibit "A ". <br />Pn <br />v <br />CD VI <br />mmaw <br />trs <br />co rn <br />z <br />00 <br />