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C <br />e n Z <br />0 - �� n ' <br />CD 7C Z <br />cil <br />N �� <br />Identifying Information about Owners <br />Name of Owners <br />Drue R. Gellatly <br />Minnie M. Gellatly <br />Lot Fifteen (15), Whites Sunny Slopes Subdivision, Hall County, Nebraska. <br />'n <br />n n <br />m u <br />ft X <br />{Space above this line for Recording Stamps} <br />REVOCABLE TRANSFER ON DEATH DEED <br />CPI <br />0) <br />Y Mailing Address of Owners <br />208 Sunny Drive <br />Doniphan, NE 68832 <br />c-a <br />Notice to Owners <br />You should each carefully read all information on this form. You May Want to Consult a Lawyer before <br />Using This Form. <br />This form must be recorded with the Register of Deeds of the County in which the property is located <br />before your death and it also must be recorded with the Register of Deeds of the County in which the <br />property is located within 30 days after it was signed. If either of these requirements is not met, this form <br />will not be effective. <br />Notice to Register of Deeds <br />This is a Transfer on Death Deed and Form 521 is not required with the filing of this Transfer on Death <br />Deed under Neb. Rev. Stat. 76- 214(2)(b). <br />Legal Description <br />The following real estate is transferred by this document, effective at the death of the survivor of the <br />Owners to the Primary Beneficiary or to the Alternate Beneficiary as provided below. <br />Primary Beneficiary <br />We designate the following Primary Beneficiaries of this Revocable Transfer on Death Deed if the Primary <br />Beneficiaries survive the survivor of us. <br />Minnie M. Gellatly Initials Page 1 of 4 <br />m <br />m <br />7-1 • rn <br />CJ) <br />