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Return to: Arend R. Baack <br />\ j, PO Box 790 <br />Y Grand Island NE 68802 -0790 <br />Name of Owner <br />Betty Nye <br />Identifying Information about Owner(s) <br />1 <br />Z <br />a <br />REVOCABLE TRANSFER ON DEATH DEED <br />(Single Owner) <br />Notice to Owner <br />You should carefully read all information on this form. <br />Name of Primary Beneficiary <br />Twila Rempe <br />This TOD Deed is Revocable <br />Before my death, I have the right to revoke this deed. <br />Page 1 of 3 <br />N <br />CD <br />CD <br />N <br />CO <br />CD <br />N <br />This transfer on death deed must be recorded with the Register of Deeds of the County in which <br />the property is located, before your death and within 30 days after being signed. If either of <br />these requirements is not met, this transfer on death deed will not be effective. <br />Mailing Address of Owner <br />2003 W. Louise <br />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 <br />death deed under Neb. 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 <br />the Primary Beneficiary or to the Alternate Beneficiary as provided below. <br />Lot One (1), Block Fifty -One (51), Charles Wasmer Third Addition to the City of <br />Grand Island, Hall County, Nebraska. <br />Primary Beneficiary <br />I designate the following beneficiary of this revocable transfer on death deed if the beneficiary <br />survives me. <br />Mailing Address of Primary Beneficiary <br />125 N. Grace Ave. <br />Grand Island, NE 68803 <br />Transfer on Death <br />At my death, I transfer my interest in the described property to the beneficiary as designated <br />above. The transfer occurs at the death of the Transferor. <br />Survivorship Required <br />Under Nebraska law, the interest of a designated beneficiary is contingent on the designated <br />beneficiary surviving the Transferor by one hundred twenty hours. <br />