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Thomas M. and Bonita J. Farr (a.k.a. Nita J. Farr) 705 Country Club Circle Wamego, KS 66547 Identifying Information about Owners Name of Owner Bonita J. Farr (a.k.a. Nita J. Farr) Thomas M. Farr Name of Primary Beneficiary The Bonita J. Farr Trust dated May 27, 2009 REVOCABLE TRANSFER ON DEATH DEED cs CO iT I r m © A co a r-►ko : m -.c 01 Zia 14- aio r a r- r .s cf) CD A f-+ c -.C: c a La p Notice to Owner You should each carefully read all information on this form. You may want to consult a Lawyer before using this form. 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. Mailing Address of Owners 705 Country Club Circle, Wamego, Kansas 66547 705 Country Club Circle, Wamego, Kansas 66547 Notice to Register of Deeds 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 Alternate Beneficiary as provided below. CONDOMINIUM UNIT NUMBER 303, THE YANCEY, A CONDOMINIUM, A CONDOMINIUM IN ACCORDANCE WITH THE DECLARATION RECORDED ON OCTOBER 17, 1984 UNDER DOCUMENT #84- 005507 OF THE COUNTY OF HALL, STATE OF NEBRASKA Primary Beneficiary We designate the following beneficiary of this revocable transfer on death deed if the beneficiary survives the survivor of us. Mailing address of Primary Beneficiary 705 Country Club Circle, Wamego, Kansas 66547