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�� <br />�� <br />�� <br />N � <br />0 <br />�� <br />� �� <br />0 <br />N <br />� <br />� �� <br />�� <br />� <br />� o � <br />� X � � <br />� � --� S C, <br />�. � � � <br />O � <br />fi <br />fi � � <br />� <br />� � <br />°� � <br />� <br />� <br />� <br />a <br />0 <br />d► v <br />� A t�► <br />� � C n� <br />� � ;�t Z 7C = <br />� <br />a� ^ N <br />W + � o � _ � <br />-i n <br />�� <br />rn <br />z <br />� <br />�=' <br />�--: c� .n <br />s� `-'� o --i O <br />� " .� c n <br />r r ' z - { N <br />� �'' , � � rn <br />G r' �� � � C_7 <br />� �'. _ � � ' F---� <br />c' �-- � � r, F '' <br />u , -� y,- t� p <br />ri � r � <br />� � r n rv <br />, � cn <br />� � Ca <br />�y� � � <br />� � �...� � <br />�' G� tn � <br />v> � <br />AFFIDAVIT FOR SUCCESSION <br />TO REAL PROPERTY WITHOUT PROBATE <br />UNDER NEBRASKA PROBATE CODE <br />STATE OF NEBRASKA <br />ss: <br />COUNTY OF BUFFALO <br />The undersigned affiant, upon being first duly sworn, does hereby depose and state: <br />1. The affiant is the sole successor to the interest of all real property in the State <br />of Nebraska of the decedent, Heide Roth, who died on December 26, 2001. <br />2. As of the date of the death of the decedent, the decedent owned the following <br />described real properiy: <br />An undivided three-one hundred and twenty -eighths (3/128ths) interest in <br />and to the Southwest Quarter (SWl/4) of Section Eight (8), Township <br />Eleven (11) North, Range Eleven (11) West of the 6 P.M., Hall County, <br />Nebraska. <br />3. The value of the decedent's interest in all real property in the decedent's estate <br />located in this state does not exceed $30,000.00. Said value has been determined from the <br />value c�f the property as shown on the assessment rolls for the year in which the decedent <br />died. <br />4. At least thirty (30) days have elapsed since the death of the decedent, as shown <br />in a certified or authenticated copy of the decedent's death certificate attached hereto. <br />5. No application or petition for the appointment of a personal representative is <br />pending or has been granted in any jurisdiction. <br />6. Affiant is entitled to the real property by reason of being the sole devisee under <br />the will of the decedent. <br />7. Affiant has made an investigation and has been unable to determine the <br />existence of any subsequent will. <br />l ��� <br />� <br />1 <br />