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202009531 <br />sole name of the Decedent or in which the Decedent held an interest as a <br />tenant in common is as follows: <br />Real Estate: <br />Personal Property: <br />Total: <br />$48,043.00 <br />$ 1,500.00 <br />$49,543.00 <br />7. Thirty days have elapsed since the death of the Decedent, which occurred on <br />August 11, 2018 as shown by the certified or authenticated copy of death <br />certificate attached hereto as Exhibit A. <br />8. No application or petition for the appointment of a personal representative is <br />pending or has been granted in any jurisdiction. The claiming successor or <br />successor's relationship to the Decedent is as follows: Daughter. <br />9. The claiming successor, to wit: Mariah T. Gingrich, is entitled to the real <br />property by reason of the homestead allowance, exempt property allowance, <br />or family allowance, by intestate succession, or by devise under the will of the <br />Decedent. <br />10. The claiming successor has made an investigation and has been unable to <br />determine any subsequent Will. <br />11. No other person or persons has or have a right to the interest of the <br />Decedent in the described property. <br />12. Pursuant to Nebraska Probate Code Section 28-915 Affiant swears or affirms <br />that all statements in this Affidavit are true and material and further <br />acknowledges that any false statement may subject the affiant to penalties <br />relating to perjury. <br />f1'Lm.-.cid) <br />Affiant <br />Subscribed in my presence and sworn to before me on this 3 day of <br />December, 2020. <br />OS GENERAL NOTARY - State of Nebraska <br />LISA R THAYER <br />My Comm. Exp. January 17, 2023 <br />Notary Public <br />