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AFFIDAVIT FOR TRANSFER OF REAL PROPERTY <br />WITHOUT PROBATE <br />STATE OF NEBRASKA ) <br />) ss <br />COUNTY OF 'J- - C- 1 ) <br />I, Roger M. Blackford, under penalty of perjury (Nebraska Revised Statute §28 -915), <br />affirm the following to be true: <br />1. Thirty days have passed since the death of ANTOINETTE MARY BLACKFORD <br />and I have attached to this affidavit a certified or authenticated copy of the death certificate. <br />2. The deceased is the sole owner of the real property, described as Lot Ten (10), <br />Block Two (2), Burger's Addition to Doniphan, Hall County, Nebraska. <br />3. Based on the assessed value of the real property through the County <br />Assessor /Register of Deeds in the year of death, less real estate taxes and interest on real estate <br />taxes if any is due at the time of death, the value of all the real property in Nebraska belonging to <br />the deceased is $50,000.00 or less and the value of the entire estate (real property value plus <br />personal property value) is $33,000.00. <br />4. There is no Personal Representative, application for Personal Representative, or <br />Petition for Personal Representative either pending or granted in another court; <br />5. I am entitled to the real property per the will of the deceased and we have made an <br />investigation and have been unable to determine any subsequent will; <br />6. No other person have a right to the property. <br />7. I will file this Affidavit with the Register of Deeds Office in the county in <br />which the real property is located (Hall County); and <br />C7 <br />-J <br />