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A.P.N. 400- 166 -720 COREY, LUZAICH, PLISKA, de GHETALDI & NASTARI, LLP WHEN RECORDED MAIL TO &wv NAME STEVAN N. LUZAICH STREET P. 0. Box 669 ADDRESS Millbrae, CA 94030 CITY STATE ZIP The undersigned grantor(s) declare(s): Documentary transfer tax is none. Transfer to Trust ( ) computed on full value of property conveyed, or ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area: ( ) City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, CAMILLE B. SMITH, TRUSTEE UNDER DECLARATION OF TRUST DATED AUGUST 27, 1997 hereby GRANT(S) to CAMILLE B. SMITH, Trustee of the Survivor's Trust under Declaration of Trust dated August 27, 1997, an undivided one half (1/2) interest in that property in the City of Grand Island, County of Hall, State of Nebraska, more particularly described on Exhibit "A" attached hereto and made a part hereof, being 604 Gold Road, Grand Island: Assessor's Parcel No. # Mail Tax Statements to: Camille B. Smith, 1340 N6griona Ave, Millbrae, CA 94030 Date �� U S STATE OF CALIFORNIA COUNTY F SAN MATE On ' I oCO-S before me, the undersigne Notary Public in and for said State, personally appeared CAMILLE B. SMITH, Trustee personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his/her /their authorized capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my ha d and official seal. Signature Name RECORDING REQUESTED BY WARRANTY DEED . b4 een A, . bus (typed or printed) MAIL TAX STATEMENTS AS DIRECTED ABOVE 201401230 0.4,,rai, 46-s-d CAMILLE B. SMITH, Trustee KATHLEEN A. KARKAZLS Commission 81356815 Notary PubYc - California San Moteo County Corrxn. E>piaes 17. (This area for official notarial seal)