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202501954 <br />STATE OF NEBRASKA ) <br />ss <br />COUNTY OF A l ) <br />(county in which the document will be signed) <br />Affidavit for Transfer of Real Property without Probate <br />I, Rot4Pkb 13 3 4 NE! , under penalty of perjury (Nebraska Revised Statute § 28-915), <br />(your name) <br />affirm the following to be true: <br />1. Thirty days have passed since the death of h tx.A-11 ti QK' <br />(deceased's name) <br />to this affidavit a certified or authenticated copy of the death certificate; <br />2. The deceased^�is the <br />©sole owner of the real <br />property described as <br />%.0 8 J5164- k 1 1O. Y K,5s 1 i F) r'5 4. �—� ar` +O <br />a I Jc HxLA tftbraska, <br />V ilk , <br />and I have attached <br />3. Based on the assessed value of the real property through the County Assessor/Register of Deeds in <br />the year of death, less real estate taxes and interest on real estate taxes if any is due at the time of <br />death, the value of all the real property in Nebraska belonging to the deceased is <br />$100,000.00 or less and the value of the entire estate (real property value plus personal property <br />value) is $ �5% g <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. Q I am the (S o n of the deceased and am entitled to the real <br />(your relationship to the deceased) <br />property by reason of the homestead allowance, exempt property allowance, family allowance, or <br />by intestate succession pursuant to Nebraska Probate Code § 30-24,129; <br />OR <br />El I am entitled to the real property per the will of the deceased and I have made an investigation <br />and have been unable to determine any subsequent will. I understand I must attach a copy of the <br />will to this affidavit. <br />6. No other person has a right to the real property; <br />7. I wilt file this affidavit with the Register of Deeds Office of the county in which the real property is <br />located ( 14c.. t t County); and <br />8. I will file the affidavit, a certified or authenticated copy of the death certificate, and a copy of the will <br />(if required) in any other county in Nebraska in which the deceased owns real property that is <br />subject to this affidavit. <br />Page 1 of 2 <br />AA4davi for Transfer of Real Properly **bout Probate <br />CC 15:41 Rev. 07/2024 <br />Neb. Rev. Stet. §3-24,129 <br />