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Until a change is requested, the County Clerk shall send tax statements to the following address: Rosamay E. Wheeler 3111 W. 14 Street Grand Island, Nebraska 68803 I, Rosamay E. Wheeler, the transferor, sign my name to this instrument this J, 3 day of October, 2015, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this transfer on death deed to transfer my interest in the described real property and that I sign it willingly or willingly direct another to sign for me, that I execute it as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or older or am not at this time a minor, and that I am of sound mind and under no constraint or undue influence. We, . Santh ileAren and Lz I'i ,4. RAM , the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the transferor signs and executes this transfer on death deed to transfer his or her interest in the described real property and that he or she signs it willingly or willingly directs another to sign for her, and that she executes it as her free and voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing of the transferor, hereby signs this deed as witness to the transferor's signing, and that to the best of her knowledge the transferor is eighteen years of age or older or is not at this - a minor . d the transferor is of so _.:,; mind and e no constraint or undue influence. STATE OF NEBRASKA COUNTY OF HALL ss: FERAL NOTARY- Stale of Nebraska SONYA K. KOPERSKI My Comm. Sip. kdy6, 2017 My commission expires: 0,i*ip 0107 Acknowledgement taLLA Rosamay� y E Wheeler ess Subscribed, sworn to, and acknowledged before me by Rosamay E. Wheeler, the transferor, and subscribed and sworn to before me by . catith Aukceii Auk and ,017 //1/? , witnesses, this jfI day of October 2015. z-E /l ash'° ; Notary Public 2015076`a