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PRIMARY BENEFICIARY <br />I designate the following: Diane J. Lewis <br />TRANSFER ON DEATH <br />At the death of the transferor, I transfer my interest in the described property to the beneficiary <br />as designated above. Before my death, I have the right to revoke this deed. <br />I, Jack E. Rasmussen, the Transferor, sign my name to this instrument this.2y day of <br />/M4/'ch 2016, and being first duly sworn, do hereby declare to the undersigned <br />authority that I sign and execute this transfer on death deed to transfer my interest in the <br />described real property and that I sign it willingly or willingly direct another to sign for me, <br />that I execute it as my free and voluntary act for the purposes therein expressed, that I am <br />eighteen years of age or older or am not at this time a minor, and that I am of sound mind <br />and under no constraint or undue influence. <br />We, zo \,ti \. and L. I+ \ \;„,r,. .. 11 the witnesses, sign our <br />names to this instrument, ieing first duly sworn, and do hereby arelare to the undersigned <br />authority that the transferors sign and execute this Transfer on Death Deed to transfer their <br />interest in the described real property and that they sign it willingly or willingly directs <br />another to sign for him or her, and that he or she executes it as his or her free and <br />voluntary act for the purposes therein expressed, and that each of us, in the presence and <br />hearing of the transferor, hereby signs this deed as witness to the transferor's signing, and <br />that to the best of his or her knowledge the transferors are eighteen years of age or older or <br />are not at this time a minor and the Transferors are of sound mind and under no constraint <br />or undue influence. <br />STATE OF NEBRASKA, ) <br />) ss. <br />County of Hall ) <br />GENERAL NOTARY • State of Nebraska <br />CAROL A. QUANDT <br />My Comm. Eke. January 7, 2019 <br />201602349 <br />Th a foregoing instrument was acknowledged before me on the ...241 day of <br />, 20 1 tv, Jack E. Rasmussen and Jo h 2 I' vc i As <br />and 1. • W; It 1 a nt . It , witnesses. <br />Cc • cZ-L-44----40-k <br />Notary Public <br />