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N r <br />e i v <br />n ---=� r r m :^ <br />Iv <br />Return to: Denise Myers, Attorney <br />611 N. Diers Ave., Ste 1 <br />Grand Island, NE 68803 <br />Notice to Owner: <br />You should carefully read all information on this form. You may want to consult a Lawyer before using this Form. If you <br />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 County in which the property is located within 30 days <br />after it was signed. If either of these requirements is not met, this form will not be effective. <br />Identifying Information about Owner: <br />Names of Owner: <br />Leondis L. Lucas and 4315 W. Schimmer Drive <br />Mary L. Lucas 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 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 Owner to the Primary Beneficiary <br />or to the appropriate Alternate Beneficiary as provided below. <br />The East Half of the North Half of the Northwest Quarter of the Northwest Quarter (E1/2NI/2NW1/4NW1/4) of <br />Section Two (2), Township Ten (10) North, Range Ten (10), West of the 6 P.M., Hall County, Nebraska. <br />Primary Beneficiary: <br />We designate the following beneficiary of this revocable transfer on death deed if the beneficiary survives the survivor <br />of us. <br />Name of Primary Beneficiaries: Mailing Address of Primary Beneficiaries: <br />Michelle L. Steidle <br />Lucinda L. Canfield <br />Ralph L. Lucas <br />Richard E. Lucas <br />Jeremy J. Lucas <br />Transfer on Death: <br />REVOCABLE TRANSFER ON DEATH DEED <br />Mailing Address of Owner: <br />3401 S. Pagosa Way <br />Aurora, CO 80013 <br />P.O. Box 162 <br />Otis, CO 80743 <br />4224 W. Hwy 30 <br />Grand Island, NE 68803 <br />1931 W. 11th Street <br />Grand Island, NE 68803 <br />2546 W. North Front Street <br />Grand Island, NE 68803 <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 />