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ate <br />"Address (line l(f) ��� - <br />Address (line 2) <br />20220736% <br />re <br />(do NOT sign UNTIL A NOTARY IS PRESENT AND WIT '' =ES YOU SIGNING) <br />Attachment: certified or authenticated copy of Death Certificate <br />This document was acknowledged before me by (,fd Ag v a t_ <br />this 11-144^ day of 60-63ei( , 20 as . <br />Signa ure of Judge/Clerk of t e ourt/Notary Public <br />Title: X'SUU\614,'( Serial Number (if any): <br />Notary commission expires: u 1(5 a ' , )O a (4) <br />Page 2 of 2 <br />Affidavit for Transfer of Real Property without Probate <br />CC 15.'41 New 07/14 <br />Pro Se Committee <br />Neb. Rev. Stat 0024.129 <br />