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00 <br />c• Ck3' S <br />co <br />` cl <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) ss. <br />m <br />-'1 <br />z <br />r_. <br />nn <br />=> <br />rn <br />r_ <br />V) <br />Cs) <br />AFFIDAVIT FOR TRANSFER OF <br />REAL ESTATE WITHOUT <br />ESTATE ADMINSTRATION <br />Section 30-24,129 (Reissue 2016) <br />The undersigned Affiants, upon being first duly sworn, depose and state: <br />1. Leo William Schwieger, Jr, a/k/a Leo W. Schwieger, a/k/a Leo Schwieger. died <br />December 10, 2020 at the age of 84 years. He was a resident of Hall County, Nebraska. <br />2. The value of the decedent's interest in all real property in the decedent's estate <br />located in the State of Nebraska or elsewhere does not exceed $50,000.00 as determined from the <br />value of the property as shown on the assessment roll for 2020. His entire interest in real estate <br />in the State of Nebraska is the ownership of the following described real estate: <br />The Southerly Seventy (70) Feet of Lot Six (6) and the Southerly Seventy (70) <br />Feet of the Westerly Fourteen and Four Tenths (14.4) Feet of Lot Seven (7) in Block <br />Four (4) in South Park, a Subdivision of part of the Northeast Quarter (NE '/) of Section <br />Twenty One (21) in Township Eleven (11) North, Range Nine (9), West of the 6th P.M., <br />Hall County, Nebraska. <br />3. Thirty (30) days have elapsed since the death of the decedent as shown on a <br />certified copy of the decedent's death certificate attached hereto and incorporated herein by <br />reference. <br />4. No application or petition for the appointment of a Personal Representative is <br />pending or has been granted in any jurisdiction. <br />1 <br />—1 <br />rn <br />rn <br />cn <br />czo <br />00 <br />