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2 rn N to 0 P , 0) r i w � m -4' Return to Galen E. Stehlik P 0 Box 400 Grand Island NE 68802 N CD - n LJ TRANSFER ON DEATH PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON DEATH ACT Ro e M. Allison, Transferor Fri I, Rozella M. Allison, a single person, Grantor /Transferor, transfer all of my interest in the following described property to the named beneficiaries, Michael H. Plautz, David A. Plautz, Susan A. Kleeb, Marilyn R. Dubbs and Jamie L. Cole, as tenants in common. Said transfer to be effective at my death. The real estate (as defined in Neb. Rev. Stat. §76 -201) in Hall County, Nebraska is described as follows: Lot Twelve (12) in Block Two (2) in Knickrehm Second Addition to the City of Grand Island, Hall County, Nebraska. (Also known as 208 W. 21' St., Grand Island, Nebraska) I may revoke this deed. When recorded this deed revokes any Transfer on Death deed that I made before signing this deed. Executed: April I LI , 2016. I Rozella M. Allison, the transferor, sign my name to this instrument this) 7 day of April, > g Y Y P 2016, 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 under influence. We: D „ \`2. ,\\ and 1 1 W (C oC IKI , 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 her interest in the described real property and that she signs it willingly or willingly directs another to sign for her, and 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 time a minor and the transferor is of sound mind and under no constraint or undue influence.