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<br /> <br /> Ila, a e~> m <br /> m n7 to o c7 cn C <br /> Z n= - `x' ° i o <br /> cn nn c:~ D <br /> (D CD <br /> ~ rnw , ~ ~ ~ rv T, C' <br /> cfl = ...-0 ti a co <br /> Z <br /> 7t "1 rn r~~ are C- <br /> rn p r A <br /> rv Q 2 rU <br /> PIZ co rrt <br /> a cr, z <br /> CD --I <br /> JTJ 0 <br /> AFFIDAVIT FOR TRANSFER OF REAL PROPERTY WITHOUT PROBATE UNDER <br /> NEBRASKA PROBATE CODE <br /> STATE OF NEBRASKA ) G <br /> a.~,( ) ss. <br /> COUNTY OF ) <br /> The undersigned Affiant, Murldine Jackson, upon first being duly sworn, does hereby depose <br /> and state: <br /> 1. The value of the Decedent's, Levi Jackson, interest in all real estate located in this <br /> State, does not exceed $25,000.00 as the assessed value of the property later described herein totals <br /> $6,969.00 and the value of the entire estate, less liens and encumbrances, does not exceed <br /> $25,000.00. <br /> 2. Thirty (30) days have elapsed since the death of the Decedent, Levi Jackson, as shown <br /> in a certified copy of the Decedent's death certificate attached to this Affidavit. <br /> 3. No application or petition for the appointment of a Personal Representative is pending <br /> or has been granted in any jurisdiction. <br /> <br /> 4. Aftant is entitled to the real property by reason of intestate succession as Affiant is the <br /> spouse of the Decedent pursuant to Nebraska Probate Code Section 30-24,129, and that Affiant's <br /> entitlement is based upon Affiant's status as surviving spouse of the Decedent under the provisions <br /> of the Nebraska Probate Code Section 30-2303. <br /> <br /> 5. Affiant has made an investigation and has been unable to locate any Will of Decedent. <br /> <br /> 6. No other person has a right to the interest of the Decedent in the following described <br /> property: <br /> <br /> Lot Eight (8), Block Sixty-six (66), Wheeler & Bennett's Second Addition to <br /> the City of Grand Island, Hall County, Nebraska. <br /> 7. Affiant swears and affirms that all statements in this Affidavit are true and material <br /> and further acknowledges that any false statement may subject Affiant to penalties relating to <br /> perjury under Section 28-915. <br /> <br /> 8. Pursuant to Nebraska Probate Code Section 30-24,130, the successor named in the <br /> Affidavit has the same protection as a Distributee who has received a Deed of Distribution from <br /> a Personal Representative as provided in Section 30-24,106. <br /> <br /> a "f G,l Dl <br /> cxy~ <br /> Murldine J ckson, <br /> by Ida Washington, Attorney-in-Fact <br /> STATE OF NEBRASKA ) <br /> ) Ss. <br /> COUNTY OF ) <br /> <br /> On this J aay of September 2009, before me, the undersigned Notary Public, duly <br /> qualified in and for said county and state, personally came Ida Washington, Attorney-in-Fact <br /> for Murldine Jackson, and acknowledged the execution of the foregoing instrument to be her <br /> voluntary act and deed. <br /> <br /> 4~~/s <br /> NNoiar~ Public <br /> OTARY - State of Nehtask, <br /> U;GEN:ERAL VIN A BROSTR0 M <br /> omm, Exp. Sept. 26, 2010 <br />