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m N - C trt co \\ Return to: Denise Myers, Attorney 611 N. Diers Ave., Ste 1 Grand Island, NE 68803 Notice to Owner: Identifying Information about Owner: Name of Owner: Donald K. Schnase Notice to Register of Deeds: Alternates to Darrel L. Schnase: Alternates to Jackie Collins: P.O. Box 247 Cairo, NE 68824 n rri REVOCABLE TRANSFER ON DEATH DEED Mailing Address of Owner: Michelle Duchow, 3105 S. Glenbrook Drive, Garland, TX 75041 Nicole Millette, 8078 Whitewing Drive, Frisco, TX 75034 Andrew Millette, 3343 S. 44 Street, Lincoln, NE 68506 Kerri Berge, 1240 R Street, Gering, NE 69341 Kelli Schnase, 7605 Lowell Blvd., Westminster, CO 80031 Cortney Collins, 110 Ophir Ave., Broomfield, CO 80020 Stacey Pool, 110 Ophir Ave., Broomfield, CO 80020 Chad Collins, 1125 Ridgestone Place, Buffalo, MN 55313 You should carefully read all information on this form. You may want to consult a Lawyer before using this Form. If you are married and both spouses do not sign this deed, the deed may be void. This form must be recorded with the Register of Deeds of the County in which the property is located before your death and it also must be recorded with the Register of Deeds of the County in which the property is located within 30 days after it was signed. If either of these requirements is not met, this form will not be effective. This is a transfer on death deed and Form 521 is not required with the filing of this Transfer on Death deed under Neb. Rev. Stat. §76- 214(2)(b). Legal Description: The following real estate is transferred by this document, effective at the death of the Owner to the Primary Beneficiary or to the appropriate Altemate Beneficiary as provided below. Lots Eleven (11) and Twelve (12), Block Four (4), Fourth Addition to the Village of Cairo, Hall County, Nebraska. Primary Beneficiary: I designate the following beneficiaries of this revocable transfer on death deed if the beneficiaries survive me. Name of Primary Beneficiary: Mailing Address of Primary Beneficiary: Victoria L. Schnase P.O. Box 1122, Scottsbluff, NE 69363 Darrel L. Schnase 1006 E. 111 Place, Northglenn, CO 80233 Jacqueline K. Collins 1330 Swainson Road, Eaton, CO 80615 Terri J. Bilslend 608 Ravenwood Drive, Grand Island, NE 68801 Alternate Beneficiaries: Alternates to Victoria L. Schnase: