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200507869 SMALL ESTATE AFFIDAVIT 2 0V 21 (REAL PROPERTY) The undersigned affiants, upon being first duly sworn, do hereby depose and state: 1. That this affidavit has been prepared and executed pursuant to Section 30- 24, 129 R.S. Supp 2002, the same being a summary administrative procedure authorized by law; 2. That one Lan Hsiang Chen Wang, also known as Lan Hsiang Wangchen, departed this life on February 27, 2005 in Newton, Iowa. That therefore as of the 17th day of June, 2005, thirty days will have elapsed since the death of said deceased; 3. That no application or petition for the appointment of a personal representative for the estate of Lan Hsiang Chen Wang, also known as Lan Hsiang Wangchen is pending or has been granted in any jurisdiction; 4. That Affiants have made an investigation and have been unable to determine the existence or whereabouts of any Last Will and Testament executed by deceased; 5. That at the time of her death, Lan Hsiang Chen Wang, also known as Lan Hsiang Wangchen, owned Lots 19 & 20 Nottingham Estates Subdivision, in the city of Grand Island, Hall County, Nebraska, which as of deceased's date of death, were valued at $4,120.00 and $3,115.00 respectively, according to the records of the Hall County Assessor's office (assessment rolls); 6. That deceased owned no property other than as above stated, except for tangible personal property, namely: personal affects, of a nominal value. That the value of the entire estate of said Lan Hsiang Chen Wang, also known as Lan Hsiang Wangchen, wherever located, does not exceed in value, the sum of $25,000.00; 7. That the undersigned, Francis Chen Cheo, Yien Cheo, Amy Cheo Pak, Chun Ming Wang, Chun Ko Wang, and Chun Chung Wang, are children of Lan Hsiang Chen Wang, also known as Lan Hsiang Wangchen, and as such are the only successors to Lan Hsiang Chen Wang, also known as Lan Hsiang Wangchen, and are entitled to and hereby claim right to possession of the above described real property belonging to Lan Hsiang Chen Wang, also known as Lan Hsiang Wangchen, by reason of intestate succession; 8. That no other person has a right to the interest of the decedent in the above described real property; 9. That affiants swear or affirm that all statements in this affidavit are true and material and further acknowledge that any false statement may subject the person or persons to penalties relating to perjury under section 28 -915.