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0 <br />co cyo <br />o <br />U <br />rn i b <br />C <br />SPACE ABOVE RESERVED FOR REGISTER OF DEEDS OFFICE RECORDING INFORMATION <br />RETURN TO: <br />Life Care Legal Counselors <br />11620 Arbor Street, Suite 201 <br />Omaha, NE 68144 <br />TITLE OF DOCUMENT: CERTIFIED DEATH CERTIFICATE... <br />C Transfer on Death Deed (see below) <br />Ei Life Estate (see below) <br />GRANTOR: Frank J. Maixner <br />GRANTEE: Edna V. Maixner <br />El Other <br />Joint Tenancy (see below) <br />PREVIOUS DEED RECORDING INFORMATION <br />(Deceased Person's Name) <br />Lots 2, 3, and N112 of Lot 4, all in Block 6, in the 3rd Addn. to the Town of Cairo, Hall County, Nebraska. <br />0) <br />(Surviving Grantee(s) from recorded deed, or Beneficiary from transfer on death deed) <br />FULL & COMPLETE LEGAL DESCRIPTION — OR ATTACH LEGAL DESCRIPTION ON PAGE 2) <br />N <br />O <br />1—+ <br />CD <br />CD <br />OD <br />CO <br />