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Return to: STATE OF NEBRASKA COUNTY OF HALL OR ) s. Page 1 of 2 Co N) CJ7 Jamie Mues Jankovitz P.O. Box 639 Grand Island, NE 68802 -0639 Affidavit for Transfer of Real Property without Probate c I, My T. Nguyen, under penalty of perjury (Nebraska Revised Statute §28 -915), affirm the following to be true: 1.) Thirty days have passed since the death of Chanh Trung Ngo, and I have attached to this affidavit a certified or authenticated copy of the death certificate; 2.) The deceased is the owner of an undivided one half interest in the real property described as: Lot Three (3), Block Eleven (11), Bonnie Brae Addition to the City of Grand Island, Hall County, Nebraska. (Physical address -1511 W. 4``' St., 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 preperty 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 $30,374.00. 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 the surviving spouse of the deceased and am entitled to the real property by reason of the homestead allowance, exempt property allowance, family allowance, or by intestate succession pursuant to Nebraska Probate Code §30 -24, 129 ❑ 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;