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Once recorded, return to: Thomas A. Emerton P.O. Box 40 Cairo, NE 68824 Notice to Owner: Identifying Information about Owner: Names of Owner: Richard L. Heckman Notice to Register of Deeds: Legal Description: John R. Heckman and Elizabeth A Tipping • nn rn = > C rn CI 2 z rn> om ,.. REVOCABLE TRANSFER ON DEATH DEED Mailing Address of Owner: P.O. Box 428. Cairo, NE 68824 to each an undivided one half interest as Tenants in Common. 1 Cr' r +� C37 N W You should carefully read all information on this form. You May Want To consult a Lawyer before Using This Form. This form must be recorded with the Register of Deeds of the County in which the property is located before your death and it also must be recorded with the Register of Deeds of the County in which the property is located within 30 days after it was signed. If either of these requirements is not met, this form will not be effective. This is a transfer on death deed and Form 521 is not required with the filing of this Transfer on Death deed under Neb. Rev. Stat. §76- 214(2)(b). The following real estate is transferred by this document, effective at the death of the Owner to the Primary Beneficiary or to the appropriate Alternate Beneficiary as provided below. 1042 Eldorado Dr., Superior, CO 80027 7777 Baron Ct., El Cerrito, CA 94530 r A tract of land in Lot 1, Block 1, Ingalls Turner Subdivision, Village of Cairo, Hall County Nebraska, described as follows; Starting at the northeast corner of Lot 1, Block 1, in the Ingalls Turner Subdivision, Cairo, Nebraska, thence South on the lot line a distance of 187 feet, thence West a distance of 171 '/2 feet, thence North and parallel to the lot line a distance of 187 feet to the North line of said lot, thence East a distance of 171 '/2 feet to the point of beginning; and The West 10 feet of the North 187 feet of Lot 1, Block 1, Ingalls Turner Subdivision, Village of Cairo, Hall County, Nebraska Q t. - 3 coo - Fri >. F' - Ts CD 7C CO cn Primary Beneficiary: We designate the following beneficiary of this revocable transfer on death deed if the beneficiary survives the survivor of us. Name of Primary Beneficiary: Mailing Address of Primary Beneficiary: