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n n <br />2 D <br />rn N C <br />n 2 <br />C--:-.7 ;=) <br />CD <br />C.: <br />T. <br />\ f -r-1 <.- --1 <br />:7, cp --i ri <br />3- <br />UT1 i -< <br />i - <br />m ...0 <br />-- rn <br />ro 2:c <br />,6 rte, <br />r- r- 1> <br />1 C3 1......4L,_. <br />XC <br />fry L'7 <br />-.0 <br />UJ <br />AFFIDAVIT FOR TRANSFER OF REAL PROPERTY PURSUANT TO NEBRASKA ►" 0 <br />PROBATE CODE SECTION 30-24,129 <br />STATE OF NEBRASKA ) <br />COUNTY OF HALL ) <br />The undersigned Affiant upon being first duly sworn, does hereby depose and <br />state: <br />1. That Allen E. Gingrich, Decedent, died on August 11, 2018, a resident of Hall <br />County, Nebraska. <br />2. That at the time of death Decedent had an interest in real property located in <br />Hall County, Nebraska, described as follows: <br />WEST HEIGHTS SECOND, ADD LT 17, LOCATED T 524 WEST AVE, HALL COUNTY, <br />NEBRASKA <br />3. The Affiant, Mariah T. Gingrich, is the person claiming as successor to the <br />Decedent's interest in real property in the State of Nebraska. <br />4. The value of Decedent's interest in all real property in the Decedent's estate <br />located in the State of Nebraska does not exceed $50,000.00. <br />5. The value of Decedent's interest in the above described real estate as shown <br />on the County of Hall assessment rolls for the year in which the Decedent died, <br />2018, is $46,970.00. <br />6. The value of the entire estate of the Decedent, which consisted of assets in the <br />ENTERED AS INSTRUMENT NO <br />