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201�08734 decedent's Last Will and Testament, a certified copy of said Will is hereto attached, and identified as Exhibit "B", is pending or has been granted in any jurisdiction. 9. The claiming successor, namely the Affiant, is entitled to one-half interest in the above real properly owned by decedent by reason of the decedent's last will and testament and by reason of homestead allowance, exempt property, family allowance, or by devise under the terms of the Last Will and Testament of the decedent. 10. The claiming successor has made an investigation and has been unable to determine any subsequent Will or transfer other than the Law Will and Testament attached hereto. I1. real property. 12 No other person has a right to the interest of the decedent in the above-described The claiming successor's relationship to the decedent as spouse and the value of the entire esta.te of the decedent does not exceed the exemption as provided by Nebraska statute. 13. The person claiming as successor under this Affidavit swears and affirms that a11 statements in this Affidavit are true and material and further that any false statement made herein may subject the person making this Affidavit to penalties relating to perjury under Neb. Rev. Sta.t. §28-915. 14. The recorded Affidavit and certified copy of decedent's death certificate, together with a copy of her Last Will and Testament will also be recorded by the claiming successor in Ha11 County only. FURTI-�R AFFIANT SAITH NOT. Dated 1��'� e.-c�6 eer �� , 2011. � � ��.�,�� - � � � � ��" t�. WILLIAM A. PETERSON, Affiant � SUBSCRIBED in my presence and sworn to before me this � day of November, 2011. .i�� . L. �' 1�Lr��]GA'r � . ' � PREPARED BY: B.J. Cunningham, #10865 CLJNNINGHAM, BLACKBURN, FRANCIS, BROCK & CLfNNINGHAM, Attorneys 222 North Cedar Street P. O. Box 2280 Crrand Island, NE 68$02 (308) 384-2636 6ENERAt NOTARY State Ot Nebraske � DIC1C D. OSTPI�NDER My Cort�. ExP. SepL 20. 2012