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1p <br />"9 <br />200207679 <br />AFFIDAVIT FOR TRANSFER <br />OF PERSONAL PROPERTY <br />WITHOUT PROBATE UNDER NEBRASKA PROBATE CODE <br />STATE OF NEBRASKA ) <br />) SS. GG. 7G 7 <br />COUNTY OF HALL ) <br />The undersigned Affiant, upon being first duly sworn, does hereby <br />depose and state: <br />1. The value of the entire estate of William Ray Bresley, Deceased, <br />wherever located, less liens and encumbrances, which is subject to probate <br />proceedings, does not exceed $25,000.00. <br />2. Thirty (30) days have elapsed since the death of Decedent. <br />3. No application or petition for the appointment of a Personal <br />Representative is pending or has been granted in any jurisdiction. <br />4. Affiant is entitled to payment and delivery of all property held by <br />others in the sole name of Decedent pursuant to Nebraska Probate Code § <br />30- 24,125. That Affiant's entitlement is based upon Affiant's status as a <br />survivor of the Decedent. <br />5. Pursuant to Nebraska Probate Code § 30- 24,126, the person <br />paying, delivering, transferring or issuing personal property or the evidence <br />thereof pursuant to this Affidavit is discharged and released to the same <br />extent as if said person dealt with a Personal Representative of the Decedent; <br />said person is not required to see to the application of the personal property <br />or evidence thereof, or to inquire into the truth of any statement in this <br />Affidavit. <br />6. A certified copy of the Decedent's Certificate of Death is attached <br />hereof. <br />f <br />PRI CILLA ANN B OOKS <br />SUBSCRIBED and sworn to before me this 23`d day of J- ]y, 2002. <br />,Vro, ENE] NOTARY PUBLIC <br />4'F <br />X; . <br />A <br />M <br />n <br />n <br />z <br />Z <br />n <br />N <br />O y <br />O <br />N <br />S <br />„ z <br />I <br />i <br />� <br />� <br />`�, <br />Ir <br />�o <br />200207679 <br />AFFIDAVIT FOR TRANSFER <br />OF PERSONAL PROPERTY <br />WITHOUT PROBATE UNDER NEBRASKA PROBATE CODE <br />STATE OF NEBRASKA ) <br />) SS. GG. 7G 7 <br />COUNTY OF HALL ) <br />The undersigned Affiant, upon being first duly sworn, does hereby <br />depose and state: <br />1. The value of the entire estate of William Ray Bresley, Deceased, <br />wherever located, less liens and encumbrances, which is subject to probate <br />proceedings, does not exceed $25,000.00. <br />2. Thirty (30) days have elapsed since the death of Decedent. <br />3. No application or petition for the appointment of a Personal <br />Representative is pending or has been granted in any jurisdiction. <br />4. Affiant is entitled to payment and delivery of all property held by <br />others in the sole name of Decedent pursuant to Nebraska Probate Code § <br />30- 24,125. That Affiant's entitlement is based upon Affiant's status as a <br />survivor of the Decedent. <br />5. Pursuant to Nebraska Probate Code § 30- 24,126, the person <br />paying, delivering, transferring or issuing personal property or the evidence <br />thereof pursuant to this Affidavit is discharged and released to the same <br />extent as if said person dealt with a Personal Representative of the Decedent; <br />said person is not required to see to the application of the personal property <br />or evidence thereof, or to inquire into the truth of any statement in this <br />Affidavit. <br />6. A certified copy of the Decedent's Certificate of Death is attached <br />hereof. <br />f <br />PRI CILLA ANN B OOKS <br />SUBSCRIBED and sworn to before me this 23`d day of J- ]y, 2002. <br />,Vro, ENE] NOTARY PUBLIC <br />4'F <br />X; . <br />