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<br /> <br /> C) --4 G7 ~0 <br /> S~ p W n r f _ Z -1 Fv v <br /> s -tea C A m p <br /> N- a 1 cn = v ;t <br /> 009 r" 0 CO <br /> M 03 <br /> = rn <br /> 7C = E7, j <br /> D co p <br /> Q j ~a 173 <br /> jk- <br /> s rwu , <br /> 0J-j, <br /> <br /> AFFIDAVIT FOR TRANS 1, ER <br /> OF REAL PROPERTY WIT'HO+t T PROBATE <br /> UNDER NEBRASK k PROBA'1 - CODE 2 0110 213 2 10 <br /> <br /> S'TATF OF NE;BRASI A ) <br /> ? ss. <br /> COUNTY OF HALL l <br /> <br /> The undersigned Affiant, upon being first duly sworr:, does hereby depose and state: <br /> <br /> I . Pauline M. Sorensen died on August Z!, 2000. <br /> <br /> ~1~Lf V~1tU{. i. x,14 eiihl'1 f:TCyi7ate est ltC Cate."tilt> ;r`. ~iG.: CtS.1:, A-Jicrc°'til Eocatea, less <br /> <br /> $25,000 00 as determined from the value of the hropert<r as shown on the assessment <br /> <br /> values for the year in which Decedent died s-,nd as approved by the County Attorney <br /> dill 'udge as C:t;lwrinirwd on the ,:i~iurilance T: x Wort; heet. <br /> <br /> 3. Thirly (30) days have elapsed since fhzi deal': t t the Dec.edeDt a,, evidenced by the <br /> <br /> certJf -Ot7VCif.1 eC@c:ent'Sdeath ,#;I ilC~ s nh uhL*_-clto. <br /> No iippilcatlon or ?netttlon for 't`he +31'ttls„ .,t; s,t a iA :.t Si+l' It l~~lzresel tatlve ?S <br /> <br /> pending or has been grafted in any ju.nsd,cs <br /> 5 Affiant: is entitled to pas anent and delivery c+l' .11!ycnt,rty hJd by others in the sole <br /> <br /> name of the Decedent pursuant to Neb. Rev S -at § 30-24,129, as named beneficiary <br /> in Decedent's Last Will and Testament a cop,./ of ti hic h is attached hereto. <br /> <br /> 6. Affiant as claiming s:...ccessor has made alt :'..E :stinat ili and has been unable to <br /> r <br /> ?`a rlliil 1ll ?':at i:91 YyL',, <br /> : <br /> _ L <br /> - uta er lit soltltas a r,l nt ire t1;c irG. 1, . ilE tr : I. ~r• uF.ns . t tine de~~l bed prip~,rty. <br /> 8a. The claiming successor's relationship to the t cider: is t!x Tntstee of Decedent's <br /> Tmst and is the narrled Beneficiar,! n Decent,; t VVii?. <br /> 8b. The legal description of the real property is: k:;cl •t 24 17 fe.:' of Lot Six (6), in Block <br /> One Hundred Ter. 110) in Railroi d Addil )ii 'ce the Ci of CJl rld Island, Hall <br /> County. ?Nebraska; together- with a cale-half intt:; ~3t i t tlc Wo A Wall o -she Building <br /> <br /> on said pre.m'se. <br /> 8c. The valLt,, of fll rcal n.,1pe •ty, N'Jlicl) r~ the r - rr'Dl-ate Estate of'th ~ Decedent is <br /> <br /> $5,6-"5.00, <br />