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201000954
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Last modified
2/11/2010 4:10:09 PM
Creation date
2/11/2010 4:08:11 PM
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DEEDS
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201000954
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201000954 <br />AFFIDAVIT FOR TRANFER OF REAL ESTATE <br />WxTHOUT PROBATE UNAER NEBRASKA PROBATE CODE <br />STATE OF NEBRASKA ) <br />)ss: <br />COUNTY OF DOUGLAS } <br />The undersigned ~'iant, as adult son of Lena Goddard, deceased, upon being first duly <br />swam, does hereby depose and state. <br />1. The value of all of the real property located in this state in which <br />Lena Goddard, decedent, held in her sole name does not exceed $30,000.00. The <br />value of the decedent's interest has been. determined from the value of the property <br />far the year in which the decedent died, as shown on the recoxds of the County <br />Assessor where such real property is located. <br />2. Thirty (30) days have elapsed since the death of the decedent. A certif ed or <br />authenticated copy of the decedents death certificate is attached to this Affidavit. <br />3. Na application ox petition fox the appointment of a personal representative is <br />pending or has been. granted in any jurisdiction. <br />4. Lena Goddard died on November 8, 2009. On the date of the decedent's death, <br />decedent was the owner of a r~~~nder interest in thefallowing-described real <br />estate: <br />Am undivided 1/d interest in Lot Sixteen (lb), in Block One (1), Except the <br />• Westerly'I~vo (2) Pert Thereof, in Knickrehm Third Addition to the City <br />ofGrand Island, Hall County, Nebraska, sub}ect to the life use of <br />Andrew J: Gudget <br />5. The decedent, on the date of her death, was uxmxanied, but is survived by the <br />fallowing: <br />l . Arleen Wirth -Daughter -Adult <br />2. Amber Goddaxd ~ Daughter -Adult <br />3. Brock Goddard _ Som -Adult <br />~. Anissa Esca -Daughter -Adult <br />No child preceded the decedent in death. <br />6. Affiant has made an investigation and has been unable to determine the existence <br />of any Wilt. <br />7'. Aff~ant is awaro of no othear puns having a right to the interest of the decedent <br />in the real prape~ty described above except as set Earth in paragraph S hereof. The <br />affiaat is the decedent's surviving son. The value of the entire estate of the <br />decedent, which consisted of assets in the sole name o£ the decedent or in which <br />the decedent held an interest as a tenant in common, is as follows: <br />Real property $1~5,O~r _00.00 <br />Personal Property $ ~ ~.~ <br />
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