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L88609Z0Z <br />13Va1SIM TO <br />RETURN TO: <br />Zachary Butz <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />N E BRAS$KADDOCUMENTARY <br />Date t'� KT�AI e <br />SZaid42L4. BY <br />f <br />3l <br />AFFIDAVIT FOR TRANSFER OF <br />REAL PROPERTY WITHOUT PROBATE <br />STATE OF MARYLAND ) <br />) SS: <br />COUNTY OF ?r 1 ii G( ) <br />r <br />I, Velma Ma C olfacck, under penalty of perjury (Nebraska Revised Statute §28-915), affirm the <br />following to be true: <br />C HC I39° <br />CHECK <br />REFUNDS: <br />CASH <br />CHECK <br />EGO i--DED <br />HALL CCIJ NE <br />10?5 APii I 1.4 7 3: 21 <br />1. Thirty days have passed since the death of Vernon Colfack, Jr.'s and I have attached to this <br />affidavit a certified or authenticated copy of the death certificate; <br />2. The deceased is the owner of an undivided Y2 interest in the real property described as Lot <br />Nine (9), Block Fourteen (14), Fairview Park Addition to the City of Grand Island, Hall County, Nebraska; <br />3. Based on the assessed value of the real property through the County Assessor/Register of <br />Deeds in the year of death, less real estate taxes and interest on the real estate taxes if any is due at the time <br />of death, the value of all the real property in Nebraska belonging to the deceased is $50,000.00 or less and <br />the value of the entire estate (real property value plus personal property value) is $35,840.00; <br />4. There is no Personal Representative, application for Personal Representative, or petition for <br />Personal Representative either pending or granted in another court; <br />5. I am the spouse of the deceased and am entitled to the real property by reason of the <br />homestead allowance, exempt property allowance, family allowance, or by intestate succession pursuant to <br />Nebraska Probate Code §30-24,129 <br />6. No other person has a right to the real property; <br />7. I will file this affidavit with the Register of Deeds Office of the county in which the real <br />property is located (Hall County); and <br />8. I will file the affidavit and certified or authenticated copy of the death certificate in any other <br />county in Nebraska in which the deceased owns real property that is subject to this affidavit. <br />Date <br />9100 Bay Avenue #205 <br />P.O. Box 339 <br />North Beach, MD 20714 <br />Attachment: certified or authenticated copy of Death Certificate <br />‘..%.‘aati1uaua,,,, <br />s26 ti <br />NOTARY 2Oa� <br />This document was acknowledged before me on the day of Al 0 `C,h , 2025, by'V, 4,1140 <br />Colfack. <br />My commission expires: —1 \cE <br />ra‘i\Lcucav <br />Notary Public <br />