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<br /> fJ ~ Q~0 ~ <br /> men .....,. <br /> ,.. n:r: c:::> 0(1) <br /> n z c:::::> <br /> t ~ ~:(. c::c 0-1 0 :D <br />N % ~ 0 c::::t> m <br />s ~ en ~~' c:J z-l N C <br />S .. I""Tl -11"'1 <br />co ~ P1 C':l 0 E:; <br />->. ~ % (0) "- -<0 <br />s 0 N o ., C) z <br />w ~ "T1 N "z <br />.,f::.. 0 r :J: 1"'1 co ~ <br />s ~ m \J 1> Ul ....... <br /> m .:::3 . :::0 c:: <br /> 0 .1> 0 :s::: <br /> (J) <br /> <:..:> tn m <br /> ?:: w ~ <br /> :t> -C <br /> .....c: .................. Z <br /> C.f1 (I> 0 0 <br /> en <br /> <br /> <br /> <br />200810340 <br /> <br />--- <br />\J"'-.. <br />\",': c-'J <br /> <br />AFFIDAVIT FOR TRANSFER OF REAL PROPERTY <br />WITHOUT PROBATE UNDER NEBRASKA PROBATE CODE <br /> <br />STATE OF NEBRASKA ) <br />) 55. <br />COUNTY OF HALL ) <br /> <br />The undersigned Affiant, upon frrst 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 Nebmska 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, Nebmska. <br /> <br />Note: 203 E. Pine St. 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 peIjuryunder Section 28-915. <br /> <br />8. Pursuant to Nebraska Probate Code Section 30-24, 130, the successor named 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 />