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202502485 <br />AFFIDAVIT FOR TRANSFER <br />OF PERSONAL PROPERTY WITHOUT PROBATE <br />UNDER NEBRASKA PROBATE CODE <br />STATE OF NEBRASKA ) <br />) ss: <br />i1 <br />COUNTY OF �C ee() <br />The undersigned affiant, upon being first duly sworn, does hereby depose and state: <br />1. The value of the entire estate of John J. Griffith, Deceased, wherever located, less liens and <br />encumbrances, which is subject to probate proceedings, does not exceed $100,000.00. <br />2. Thirty days have elapsed since the death of the Decedent. A copy of the Decedent's death <br />certificate is attached to this Affidavit showing date of death of John J. Griffith to be July <br />15, 2024. <br />3. No application or petition for the appointment of a Personal Representative is pending or has <br />been granted in any jurisdiction. <br />4. Affiant is entitled to payment and delivery of all property held by others in the sole name of <br />the Decedent pursuant to Nebraska Probate Code Section 30-24, 125. Affiant's entitlement to <br />personal property is based on his status as son, and that he will make distribution per the <br />Last Will and Testament of John J. Griffith. <br />5. Pursuant to 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 released to the same extent as if said person dealt with a Personal <br />Representative of the Decedent; said person is not required to see to the application of the <br />personal property or evidence thereof or to inquire into the truth of any statement in this <br />affidavit. <br />6. The information and statements in this Affidavit are true and material. Your affiant further <br />acknowledges that any false statement made herein ray subject your affiant to penalties <br />relating to perjury under Section 28-915. <br />s D. Griffith <br />6433 Platte Ave <br />Lincoln, NE 68507 <br />(402) 239-9727 <br />/► SUBSCRIBED and sworn to before me by James D. Griffith, on this 27' day of <br />fi G/S7 , 2024. <br />State of Nebraska —General Notary <br />GREGOR ° P HERMOSILLO <br />My Comrrrissbn Expkes <br />MilrWsion Expires <br />Notary P s lic <br />