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.�� <br />� , Y <br />�� <br />� �� <br />� �� <br />m .�� <br />m � <br />� �� <br />� <br />� �� <br />� - <br />- <br />� <br />� <br />�.� <br />�IJ <br />W <br />� <br />� <br />_y <br />� <br />f++ o <br />�, n <br />m <br />z <br />�� <br />iG�g � � <br />��i <br />0 <br />�r � <br />-� <br />�m� <br />n <br />�I <br />STAT� OF NEQRASKA ) <br />) ss. <br />couN o� D°� ) <br />:� � <br />n <br />C rn'� � � <br />n � � �. r <br />� n p � �. ;,�., � <br />� V�1 � � r i ��-�.. � <br />� _ � ��: r...., <br />. c � �:.:::R\. � <br />� �, w <br />,. � <br />c,� � <br />� �:1; <br />^ '� <br />rr� a� <br />, � �, c.� <br />� � <br />SUCCE5510N TO REAL PROPERTY <br />BY AFFIDAVIT FOR SMALL E57AT'E <br />��az4,�za� <br />The undersigned Aff'ian#, upon being first duly swom; deposes and states: <br />1. Berbars Mae Tams, alea knawn as Barbara Tams died April 6, 2005 at �� <br />years of age and a resident of Jahnson Caunty, Nebraska. Barbara Mae 'Cams died <br />owning an undivided one-third irrterest in the fall�wing described real estate in hiall <br />Caunty, Nabraska: <br />Lot Seven (7), in Bl�dc 7hirry Seven (37), in Charles Wasmer's Addition tn <br />the City af Grand Island, Hall County, Nebraska <br />2. The vafue af the decedent's interest in all real property in the decederrk's <br />probate estat�a lacated in this state does not exceed $2S,QU0.00. <br />3, Thirty days have elapsed sin� the death of the decedent as shown in a <br />c�rt'�'ied cflpy of the decedenk's dea#h certi�cate attached to this Affidavit. <br />4. No application or pet�ion for the appointment of a Persnnal Representative is <br />pending or has been granted in any jurisdiction. <br />S. 'The undersigned, as claiming succ:essar, is entitied to the real property by <br />reason of intestate succession. <br />6. The undersigned, as claiming successor, knows of his own knawledge after <br />invesfigation that the decedent left no will. <br />7. �[a ather persan has a right #o thQ [nterest of the dec�dent in the described <br />real estate. <br />8. The undersigned claiming successor is the surviving s use of the decedent. <br />The value of fhe entire estate af the decedent is less than $�Q, <br />Robert Tams, under oath, states that all statemenis in this frdavi� re brue and <br />materiel and further acknowledges that any false statament made by him may sul�ject <br />him to penaltiss relating to perjury under Section 28-915 of 12evised Statutes nf <br />Nebraska. <br />� ����� <br />bert Tam <br />9$75 I,.aurel Avenue <br />Omaha, NE fi813�4 <br />Subscribed and swom to before me khe � day of ovem6er, 2010 by Ftabert <br />Tams. <br />pB�1Al, N01'Ali� - Stale of Nebrae� � <br />��� �� Notary Public <br />11y Comm �• Feb. 20, �4114 <br />PREPAFtED BY: <br />ouane,4 euma �to53a <br />MAYBt, BURN3, Kt�Nl4 &.IANt1LEW1t� <br />308 NwM� Locuat Straet, Sulq� 30B <br />P. O, 8ox 23p0 <br />Clrsnd IslaiW, NE fiBBU� <br />(90B) 384-1120 <br />� cn <br />c� -� <br />C Sr <br />Z --+ <br />--� rr' <br />-[ � _. <br />� r 1 <br />� C7J <br />� -n <br />� �r <br />V� <br />x <br />n <br />cr� <br />v> <br />rp'1 <br />� <br />G7 �: � <br />N kc7 <br />[� 4�..�..��8 <br />� � :� <br />� .�::':i <br />,. ,� <br />CX] . � <br />� ��� <br />� � <br />� <br />c� <br />�� <br />c� <br />� <br />