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N <br />B <br />s <br />Identifying Information about Owner: <br />Names of Owners: <br />Leroy E. Kramer and <br />Arlene T. Kramer, Husband & Wife <br />Return to: Jamie Mues Jankovitz <br />2 W. 3r St. <br />Grand Island, NE 68801 <br />REVOCABLE TRANSFER ON DEATH DEED <br />Page 1 of 3 <br />a <br />cn <br />cn <br />;1J <br />Notice to Owner: <br />You should carefully read all information on this form. You may want to consult a Lawyer <br />before using this form. <br />This form must be recorded with the Register of Deeds of the County in which the property is <br />located before your death and it also must be recorded with the Register of Deeds of the County <br />in which the property is located within 30 days after it was signed. If either of these requirements <br />is not met, this form will not be effective. <br />Mailing Address of Owners: <br />3345 N. US Hwy 281 <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 Owners to <br />the Primary Beneficiary or to the appropriate Alternate Beneficiary as provided below. <br />Lot Two (2) Homestead Subdivision in Grand Island, Hall County, Nebraska, excepting <br />therefrom a tract of land deeded to the State of Nebraska, in Warranty Deed recorded as <br />Document No. 83- 003318 and excepting a tract of land more particularly described in <br />Return of Appraiser recorded as Document No. 92- 106105 <br />Primary Beneficiary: <br />We designate the following beneficiary of this revocable transfer on death deed if the beneficiary <br />survives the survivor of us: <br />