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After Recording Return to: <br />1,1 Thomas W. Tye 11 <br />k; THE TYE LAW FIRM, PC, LLO <br />v PO Box 636 <br />Kearney, NE 68848 -0636 <br />Identifying Information about Owner: <br />Name of Owner <br />Dorothy M. Meyer <br />Name of Primary Beneficiary <br />Wayne E. Meyer <br />m <br />'r1 <br />c <br />z <br />TOP PORTION FOR USE BY THE OFFICE OF THE REGISTER OF DEEDS ONLY. <br />REVOCABLE TRANSFER ON DEATH DEED <br />(Single Owner) <br />Mailing Address of Owner <br />3990 W. Capital Ave, Apt 116 <br />Grand Island, NE 68803 <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 <br />Transfer on Death 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 <br />Owner to the Primary Beneficiary or to the Alternate Beneficiary as provided below. <br />SOUTHWEST QUARTER (SW' /4) OF SECTION 30, TOWNSHIP TWELVE NORTH, <br />RANGE TWELVE WEST OF THE 6 P.M., HALL COUNTY, NEBRASKA <br />Primary Beneficiary: <br />I designate the following beneficiary of this revocable transfer of death deed if the <br />beneficiary survives me: <br />Mailing Address of Primary Beneficiary <br />17600 W. Abbott Road <br />Cairo, NE 68824 <br />Transfer on Death: <br />At my death, I transfer my interest in the described property to the beneficiaries as <br />designated above. The transfer occurs at the death of the Transferor. <br />Survivorship Required: <br />Under Nebraska law, the interest of a designated beneficiary is contingent on the <br />designated beneficiary surviving the Transferor by one hundred twenty (120) hours. <br />Page 1 of 3 <br />