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202501713 <br />Date <br />N''6 AU-6- <br />Ad�ress <br />(li e��u� %Q7n7 <br />Ad�ress (line 2) v <br />It <br />Signature <br />(do NOT sign UNTIL A NOTARY IS PRESENT AND WITNESSES YOU SIGNING) <br />Attachment: Certified or authenticated copy of Death Certificate <br />Copy of the will (if required). <br />This document was acknowledged before me by L, sa j. <br />this / -H'I day of 4o4 -Y bQf , <br />Notary commission expires: rnb l0 X)a-1 <br />Signaturf Judge/Clerk of the Court/$Jotary Public <br />Title: ?e.cCipyv k' 71/1K it <br />Page 2 of 2 <br />Affidavit for Transfer of Real Property without Probate <br />CC 15:41 Rev. 07/2024 <br />Neb. Rev. Stat. §30-24,129 <br />Serial Number (if any): <br />K4r\f1 Kcxdoen <br />