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Retum to: Denise Myers, Attorney <br />611 N. Diers Ave., Ste 1 <br />Grand Island, NE 68803 <br />Notice to Owner: <br />Primary Beneficiary: <br />Name of Primary Beneficiary: <br />Rachel Alloway <br />This TOD Deed is Revocable: <br />Before my death, I have the right to revoke this deed. <br />Legally Required Warning in the TOD Deed: <br />Please pay close attention to the following warnings: <br />• n Xu <br />▪ Rc' <br />REVOCABLE TRANSFER ON DEATH DEED <br />Identifying Information about Owner: - <br />Names of Owner: Mailing Address of Owner. <br />You should carefully read all information on this form. You may want to consult a Lawyer before using this Form. If <br />you are married and both spouses do not sign this deed, the deed may be void. <br />This form must be recorded with the Register of Deeds of the County in which the property is located before your death <br />and it also must be recorded with the Register of Deeds of the Cpunty in which the property is located within 30 days <br />after it was signed. If either of these requirements is not met, th16 form will not be effective. <br />Scott H. Bilslend and 608 Ravenwood Drive <br />Terri J. Bilslend Grand Island, NE 68801 <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 deed under Neb. <br />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 Owners to the Primary Beneficiary <br />or to the appropriate Altemate Beneficiary as provided below. <br />Lot Thirty Three (33), Ravenwood Subdivision, Hall County, Nebraska. <br />We designate the following beneficiaries of this revocable transfer on death deed if the beneficiaries survive the survivor <br />of us. <br />Mailing Addresi3 of Primary Beneficiary: <br />7020 N. Steamboat Drive <br />Lincoln, NE 68521 <br />Nikki Escobar 6850 South Street <br />Lincoln, NE 68506 <br />Matthew Bilslend 102 Chickadee <br />Phillips, NE 68865 <br />Transfer on Death: <br />At the death of the survivor of us, we transfer our interest in the described property to the beneficiaries as designated <br />above. The transfer occurs at the death of the survivor of the Transferors. <br />Survivorship Required: <br />Under Nebraska Law, the interest of a designated beneficiary is contingent on the designated beneficiary surviving the <br />transferor by one hundred twenty (120) hours. <br />it/2100 <br />