WPC} 'QW%֐Z, -I!sk(9<;,UŃ_}%, u܍Êm*"y,;j3=*xBXnࣞq쨜_>]m}+X ڷ$>CbX#ר/VwQ}|Mhso*V+ ۳E'W0Y6 L `G-4HGM|_ቄ$w  qi?5S$a"pG]fቤNWj?1ɮԥ?IԋiՙM*-S[ xrjz ᦏY[PxK_La4|^{X54 "刧˯kJkR2dn%O0 'ȸ C H Li YfWevf,Nگ KDz[rH60X j#U N %^ U N  0(Ww4 mNU4U :UN/SAVIN_40600(9 Z6Times New Roman RegularX8Z (hH  Z6Times New Roman Regular($zs8CEDURE3|xU0]AArial Bold,ZAZ"Arial Regular(uH Z 6Times New Roman Regular !  _Ԛ     XXXX<(#!XXK.S.A.591507b  ,(#Affidavit/Estatesunder$40,000 t @!@!C(##XX!{#XX(7/1/08)#XX;##XXXXJ#XXXXԈ 8 #XXXX뜨#XXXX@*   AFFIDAVITTRANSFERRINGCERTAIN   @@"PERSONALPROPERTY       STATEOFKANSAS0  )^  (#(#    `    )ss: J   COUNTYOF   ) h  6  򀀀&%XX(nameof_affiant_)#XX%&Ȥ#󀀀,oflawfulage,firstbeingdulyswornstates: J    (1)On򀀀&%XX(date)#XX%&ȋ#󀀀,򀀀,򀀀&%XX(nameofdecedent)#XX%&#Ԁdied(testate)(intestate) " at򀀀&%XX(location)#XX%&ȣ#󀀀,leavinganestatenotexceeding$40,000invalue,andIhave  attachedacertifiedcopyofthedeathcertificatehereto.    (2)Thatnopetitionfortheappointmentofanexecutororadministratorofthe  decedentsestateispendingorhasbeengranted. n   (3)Thatallunpaiddebts,claimsordemandsagainstthedecedentorthe F decedentsestateandallestate,andinheritancetaxesdue,ifany,ontheproperty 2 transfersinvolved,havebeenorwillbepaid. n   (4)Thatthefollowingarethenames,ages,relationshipsandaddressesofthe F beneficiariesunderthedecedentswillorheirsofthedecedent: 2   Name0   Age  Relationship    Address @!  @!   (# (#   󀀀򀀀󀀀򀀀󀀀򀀀     󀀀򀀀󀀀򀀀󀀀򀀀 !    󀀀򀀀󀀀򀀀󀀀򀀀 |"!   󀀀򀀀󀀀򀀀󀀀򀀀 h#"   (5)Thatthedecedentsestateconsistsofthefollowingproperty:(includethe @% $ proceedsfrominsurancepoliciespayabletotheestateandidentifythepolicyby ,&|!% number): 'h"&   0 ` Property0` (#` (# h     0p(#(#0p(#p(#Value(@$((#(#    ` 󀀀򀀀 *&*    ` 󀀀򀀀 +'+    ` 󀀀򀀀 ,',    ` 󀀀򀀀  -(-   (6)That_affiant_(s)(has)(have)thesoleandexclusiverighttosucceedtothe  personalpropertyofthedecedentandthat_affiant_(s)(is)(are)over18yearsofage  and(is)(are)legallycompetentinallrespectstomakethisaffidavitandtoreceive  theabovementionedpersonalproperty,apportionedamongthe_affiant_Ԁor_affiants_, t ifmorethanone,asfollows: h      p      x  . `   Wherefore,_affiant_(s)hereby(requests)(request)thattheabovementioned 8  personalpropertybetransferredtothe_affiant_(s).#XXXX#XXXX $ t #XXXX# XXXX   `     h   0  򀀀 & %X X(Signatureof_Affiant_)# XX % &#󀀀$ (#(# Subscribedandsworntobeforetheundersignedonthe   x dayof      `  ,2  .     0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(# p      x   (#(#   0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#NotaryPublic4(#(# MyAppointmentExpires:  \    `    #XXX X<#XXXX   g XXAuthority   Y  K.S.A.591507b. F   NotesonUse  6     # g   g:# g   gThisaffidavitmaybeusedtoobtainthetransfer,toadecedentssuccessorininterest,ofcertainpersonal !  propertythatwouldbetransferrabletothedecedent,withoutobtaininglettersofadministrationorletters T"! testamentary,wherethetotalvalueoftheestatesubjecttoprobatedoesnotexceed$40,000.Thetransferistreated $#t" asonetothepersonalrepresentativeofthedecedent,andthereceiptofthetransferoperatesasafulldischargeand #D# releaseofthetransferor.# g   gW#  g   g  $ $   Comment d&!&     PriortoJuly1,2000,K.S.A.591507bconsistedoftwosubsections.Subsection(a)relatedtoonlythe (R#( survivingspouseandsubsection(b)relatedtoallsuccessorsofthedecedent.The2000Legislaturerepealed ("$) subsection(a)andraisedthelimitationfrom$10,000to$20,000.The2008Legislatureraisedthelimitationfrom )$* $20,000to$40,000.#XX  ge#XX r*%+    ` #XX##XXXX#