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el-L506I.0Z <br />RETURN TO: <br />John B. McDermott <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />AFFIDAVIT FOR TRANSFER OF <br />REAL PROPERTY WITHOUT PROBATE <br />�-�-� -� 1 r r 1 <br />r1 <br />1j <br />i rn <br />cr; <br />r— J <br />r ---- <br />(i) <br />CD <br />rn, <br />ON 1N3WfII1SN1 SY 03U31N3 <br />STATE OF NEBRASKA ) <br />) SS: <br />COUNTY OF HALL ) <br />I, John Tiff, under penalty of perjury (Nebraska Revised Statute §28-915), affirm the following to <br />be true: <br />1. Thirty days have passed since the death of Jerod Tiff and I have attached to this affidavit a <br />certified or authenticated copy of the death certificate; <br />2. The deceased is the owner of an undivided I/2 interest in the real property described as Lot <br />Ten (10), Block Thirty-nine (39) in Russel Wheeler's Addition to the City of Grand Island, Hall County, <br />Nebraska; <br />3. Based on the assessed value of the real property through the County Assessor/Register of <br />Deeds in the year of death, less real estate taxes and interest on the real estate taxes if any is due at the time <br />of death, the value of all the real property in Nebraska belonging to the deceased is $50,000.00 or less and <br />the value of the entire estate (real property value plus personal property value) is less than $50,000.00; <br />4. There is no Personal Representative, application for Personal Representative, or petition <br />for Personal Representative either pending or granted in another court; <br />5. I am the brother of the deceased and am entitled to the real property by reason of the <br />homestead allowance, exempt property allowance, family allowance, or by intestate succession pursuant to <br />Nebraska Probate Code §30-24,129 <br />6. No other person has a right to the real property; <br />7. I will file this affidavit with the Register of Deeds Office of the county in which the real <br />property is located (Hall County); and <br />8. I will file the affidavit and certified or authenticated copy of the death certificate in any <br />other county in Nebraska in which the deceased owns real property that is subject to this affidavit. <br />Date <br />222 E. 11t St. <br />Grand Island, NE 68801 <br />STATE OF NEBRASKA, COUNTY OF HALL, SS: <br />Sign e <br />g 4 D day of Qa!�= 2019, by John <br />This document was acknowledged before me on the <br />Tiff. <br />My commission expires <br />GENERAL NOTARY - State of Nebraska <br />MERRY J. JOHNSON <br />L My Comm. Exp. August 21, 2022 <br />