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<br />I\J <br />S <br />S <br />(Xl <br />...... <br />s <br />w <br />w <br />-.....,J <br /> <br /> <br /> <br />A <br />:- <br />t <br />I <br /> <br />i~~ <br />n% <br />'" <br /> <br />A~ <br />;;u !::,," <br />rn ~"""t <br />~c;:\f~ <br />~ u <br />~ r <br /> <br />-C <br />-C <br /> <br />c.n <br />c.n <br /> <br />10 <br />~ <br />n Z <br />~E~ <br />;JIll; % <br /> <br />r-...:> <br /><:::::> <br /><..:::::.> <br />00 <br /> <br />(")(fl <br />O~ <br />c:: 1> <br />z~ <br />-jrn <br />-<0 <br />o -" <br />-"z <br />::r nl <br />1> co <br />r- :::0 <br />.1> <br />c.n <br />:;><:: <br />1> <br />...................... <br /> <br />:".: <br /> <br />CJ <br />n"l <br />CJ <br /> <br />N <br />N <br /> <br />-0 <br />:3 <br /> <br />(..) <br /> <br />200810337 <br /> <br />AFFIDAVIT FOR TRANSFER OF REAL PROPERTY <br />WITHOUT PROBATE UNDER NEBRASKA PROBATE CODE <br /> <br />STATEOFNEBRASKA ) <br />) 55. <br />COUNTY OF HALL ) <br /> <br />The undersigned Affiant, upon first being duly sworn, does and hereby depose and state: <br /> <br />1. The value of the Decedent's, Raymond E. Sems, interest in all real estate located <br />in this State, does not exceed $25,000.00, as one-third (1/3) of the real property later described <br />herein totals $7,000.00, and the value of the entire estate, less liens and encumbrances, does not <br />exceed $25,000.00. <br /> <br />2. Thirty (30) days have elapsed since the death of the Decedent, Raymond E. Sems, <br />as shown in a certified copy of the Decedent's death certificate attached to this Affidavit. <br /> <br />3. No application or petition for the appointment of a Personal Representative is <br />pending or has been granted in any jurisdiction. <br /> <br />4. Affiant's are entitled to the real property by reason of intestate succession as <br />Affiant's are the spouse and surviving children of the Decedent pursuant to Nebraska Probate <br />Code section 30-24, 129, and the Affiant's entitlement is based upon Affiant's status as surviving <br />spouse and the surviving children of the Decedent under the provisions of the Nebmska Probate <br />Code Section 30-2303. <br /> <br />5. <br />Decedent. <br /> <br />Affiant has made an investigation and has been unable to locate any valid Will of <br /> <br />6. No other person has a right to the interest of the Decedent in the following <br />described property: <br /> <br />Lots Three (3) and Four (4) and the East Half(E 1/2) of Lot Five (5), in Block Thirteen <br />(13), Clarkson's First Addition to the Village of AIda, Hall County, Nebraska. <br /> <br />Note: 203 E. Pine S1. AIda, NE <br /> <br />7. Affiant's swear and affirm that all statements in this Affidavit are true and <br />material and further acknowledges that any false statement may subject Affiant's to penalties <br />relating to perjury under Section 28-915. <br /> <br />8. Pursuant to Nebraska Probate Code Section 30-24, 130, the successor narned in <br />the Affidavit has the same protection as a Distributee who has received a Deed of Distribution <br />from a Personal Representative as provided in Section 30-24, 106. <br /> <br />~ ~ <br /> <br />o (9 <br />o 6; <br />co Z <br />~ ~ <br />:c <br />c: <br />it: <br />~ <br />is <br /> <br />o <br />w <br />W <br />.....:J <br /> <br />~. <br />C':'.. <br />) Cl <br />