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STATE OF pew sra5 tr ) COUNTY OF (I\ OR`(& .S ) (county In which the document win be signed) Affidavit for Transfer of Real Property without Probate I, Lynn Ann Gill (your name) affirm the following to be true: 20200428E , under penalty of perjury (Nebraska Revised Statute § 28-915), 1. Thirty days have passed since the death of Richard H. Sullivan and I have attached (deceased's name) to this affidavit a certified or authenticated copy of the death certificate; 2. The deceased is the sole owner of the real property described as Lot Seven (7), in Block Six (6), H.G. Clark's Addition to the city of Grand Island, Hall County, NebrasRaa, as surveyed, platted and recorded aubjectty easements and restrictions of record. (note. joint owner with my mother Gloria Anri Reichmann, my mother and predecessor irrtitie) 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 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 $ 8 000 , co 4. There is no Personal Representative, application for Personal Representative, or petition for Personal Representative either pending or granted in another court; 5. 0 I am the of the deceased and am entitled to the real (your relationship to the deceased) property by reason of the homestead allowance, exempt property allowance, family allowance, or by intestate succession pursuant to Nebraska Probate Code §30-24,129 OR IYam 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; 6. No other person has a right to the real property; 7. I will file this affidavit with the Register of Deeds Office of the county in which the real property is located ( Hall County); and 8. I will file the affidavit and certified or authenticated copy of the death certificate in any other county in Nebraska in which the deceased owns real property that is subject to this affidavit. Page 1 of 2 Affidavit for Transferor Real Property without Probate CC 15:41 New 07/14 Pro Se Cootie Ni.bRev. Stet 590.24.129