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202207722 <br />AFFIDAVIT FOR TRANSFER OF <br />PERSONAL PROPERTY WITHOUT PROBATE <br />UNDER NEBRASKA PROBATE CODE <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF HALL ) NL j<AuPSI` <br />The undersigned affiant, upon being first duly sworn, does hereby depose and state: R Tat <br />r <br />1. The value of all of the personal property in the estate of Diane M. Nowka, Deceased, wherever <br />located, less liens and encumbrances, which is subject to probate proceedings, does not exceed <br />$100,000.00. <br />2. Thirty days have elapsed since the death of the Decedent. A certified or authenticated copy of the <br />decedent's death certificate is attached to this Affidavit. <br />3. No application or petition for the appointment of a Personal Representative is pending or has been <br />granted in any jurisdiction. <br />4. Affiant is entitled to payment and delivery of all personal property held by others in the sole name <br />of the Decedent pursuant to Nebraska Probate Code Section 30-24,125. Affiant's entitlement to <br />personal property is based on his status as spouse. <br />5. Pursuant to the Nebraska Probate Code Section 30-24,126, the person paying, delivering, <br />transferring or issuing personal property or the evidence thereof pursuant to this affidavit is <br />discharged and release to the same extent as if said person dealt with a Personal Representative of <br />the Decedent; said person is not required to see to the application of the personal property or <br />evidence thereof or to inquire into the truth of any statement in this affidavit. <br />6. Affiant covenants and agrees to distribute the property, less lawful debts and expenses, to the <br />persons entitled to the same under Nebraska or other applicable law. <br />7. For and in consideration of the transfer and delivery of said property to the undersigned, the <br />undersigned does hereby agree to indemnify and save harmless payor from and against any and all <br />demands, liability, loss, cost, damage or expenses of whatever nature or kind, including attorney's <br />fees, which the said payor is or may be, at any time, put to by reason of the transfer and delivery of <br />said property as aforesaid. <br />8. The information and statements in the Affidavit are true and material. Your affiant further <br />acknowledges that any false statement made herein may subject your affiant to penalties relating to <br />perjury under Section 28-915. <br />Eddie L. Nowka <br />252 S. Oak Street <br />Grand Island, NE 68801 <br />(308) 383-8482 <br />SUBSCRIBED AND SWORN to before me on thisZ7 day of September, 2022. <br />(SEAL) <br />eit„.. <br />Notary Public <br />