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202501713 STATE OF NEBRASKA COUNTY OF H q I I ) ss (county in which the document will be signed) Affidavit for Transfer of Real Property without Probate I, Lisa J. Kyhn Katzberg (your name) affirm the following to be true: , under penalty of perjury (Nebraska Revised Statute § 28-915), 1. Thirty days have passed since the death ofJoan M. Kyhn and I have attached (deceased's name) to this affidavit a certified or authenticated copy of the death certificate; 2. The deceased is the sole owner of the real property described as An Undivided 1/4 interest in Lot One (1), Copper Creek Estates Fourth Subdivision in the City of Grand 15Iand, Hall Cvunly, Nubidskd, liiutu y KfOwii Gib cc Ave. S, OTan J Iceland, Hall County, NGbra 3. Based on the assessed value of the real property through the County Assessor/Register of Deeds in the year of death, less real estate taxes and interest on real estate taxes if any is due at the time of death, the value of all the real property in Nebraska belonging to the deceased is $100,000.00 or less and the value of the entire estate (real property value plus personal property value) is $ 67,886.50 4. There is no Personal Representative, application for Personal Representative, or petition for Personal Representative either pending or granted in another court; 5. El I am the Daughter. (Other sibling renounced) of the deceased and am entitled to the real (your relationship to the deceased) property by reason of the homestead allowance, exempt property allowance, family allowance, or by intestate succession pursuant to Nebraska Probate Code § 30-24,129; OR ❑ I am entitled to the real property per the will of the deceased and I have made an investigation and have been unable to determine any subsequent will. I understand I must attach a copy of the will to this affidavit. 6. No other person has a right to the real property; 7. I will file this affidavit with the Register of Deeds Office of the county in which the real property is located ( Hall County); and 8. I will file the affidavit, a certified or authenticated copy of the death certificate, and a copy of the will (if required) in any other county in Nebraska in which the deceased owns real property that is subject to this affidavit. Page 1 of 2 Affidavit for Transfer of Real Property without Probate CC 15:41 Rev. 07/2024 Neb. Rev. Stat. §30-24,129