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r ly C fT1 N <br /> �� nz � _ <br /> n� � y � � 6J"� <br /> � 7� _ � � C► —1 O <br /> i'*' <br /> ca <br /> � � � � � � y � � <br /> � � <br /> � � "t p � c''�D <br /> � t� ,Z'"0 � ��.' � O '�'1 CD � <br /> � _� <br /> GO � �� Oi' c� �,� = r? F--+ cn <br /> � X� n � � rA" � � � <br /> �% � r-- y�. -�} t-.'+' <br /> � ^' �� t; --� � -J � <br /> ( � : � y, � `'r w.ni � � . <br /> � `..` 9 9 1�'�7 9� � � o <br /> � AFFIDAVIT FOR TRANSFER <br /> O� <br /> OF PERSONAL PROPERTY WITHOUT PROBATE <br /> UNDER NEBR.ASKA PROBATE CODE <br /> �- <br /> Q <br /> Re: The East Half of the Southwest Quarter (E1/2 SW1/4) ; the o <br /> West Half of the Southeast Quarter (W1/2 SE1/4) excepting <br /> a 1 .299 acre tract described in deed recorded in Book 173 <br /> at page 367 of the official deed records of Hall County, <br /> Nebraska; the Southwest Quarter of the Northeast Quarter <br /> (SWl/4 NE1/4) ; all in Section Three (3) , Township Twelve <br /> (12) North, Range Nine (9) West of the 6th P.M. , Hall <br /> County, Nebraska. <br /> STATE OF NEBRASKA ) <br /> ) ss . <br /> COUNTY OF HALL ) <br /> The undersigned Affiant, upon being first duly sworn, does <br /> hereby depose and state: <br /> l . The value of the entire estate of ANDREW L. HORN, <br /> Deceased, wherever located, less liens and encumbrances, which is <br /> subject to probate proceedings, does not exceed $25, 000, being <br /> Decedent' s one-half interest in a Hall County Real Estate Mortgage <br /> on the above referred to real estate. <br /> 2 . Thirty days have elapsed since the death of the Decedent . <br /> 3 . No application or petition for the appointment of a <br /> Personal Representative is pending or has been granted in any <br /> jurisdiction. <br /> 4 . Affiant is entitled to payment and delivery of all <br /> property held by others in the sole name of the Decedent pursuant <br /> to Nebraska Probate Code section 30-24, 125 and that Affiant' s <br /> entitlement is based upon Affiant' s status as surviving spouse and <br /> only heir of Decedent, there being no issue or parents of the <br /> Decedent surviving him. <br /> 5 . Pursuant to Nebraska Probate Code section 30-24 , 126, the <br /> person paying, delivering, transferring or issuing personal <br /> property or the evidence thereof pursuant to this Affidavit is <br /> discharged and released to the same extent as if said person dealt <br /> with a Personal Representative of the Decedent; said person is not <br /> required to see to the application of the personal property or <br /> evidence thereof or to inquire into the truth of any statement in <br /> this Affidavit . <br /> 6 . As further consideration for the delivery and transfer to <br /> Affiant of Decedent' s interest in property, Affiant hereby <br /> indemnifies and agrees to hold harmless H. Eugene Bishop, Payor, <br /> his heirs, devisees, successors or assigns, from any and all <br /> claims, demands, suits or causes of action arising by reason of <br /> said Payor making payment to Affiant under this Affidavit for <br /> Transfer of Personal Property Without Probate. <br />