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After Recording Return to: Thomas W. Tye II THE TYE LAW FIRM, PC, LLO PO Box 636 Kearney, NE 68848 -0636 Identifying Information about Owner: Name of Owner Dorothy M. Meyer Name of Primary Beneficiary Larry L. Meyer rF i t, -n fri 101 XX X rn So r y.1 REVOCABLE TRANSFER ON DEATH DEED (Single Owner) Mailing Address of Owner 3990 W. Capital Ave, Apt 116 Grand Island, NE 68803 Page 1 of 3 TOP PORTION FOR USE BY THE OFFICE OF THE REGISTER OF DEEDS ONLY. 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. NORTHWEST QUARTER (NW' /4) OF SECTION 30, TOWNSHIP TWELVE NORTH, RANGE TWELVE WEST OF THE 6 P.M., HALL COUNTY, NEBRASKA Primary Beneficiary: I designate the following beneficiary of this revocable transfer of death deed if the beneficiary survives me: Mailing Address of Primary Beneficiary 12455 Riverdale Road Riverdale, NE 68870 Transfer on Death: At my death, I transfer my interest in the described property to the beneficiaries as designated above. The transfer occurs at the death of the Transferor. Survivorship Required: Under Nebraska law, the interest of a designated beneficiary is contingent on the designated beneficiary surviving the Transferor by one hundred twenty (120) hours.