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rn <br />-n <br />n � <br />Z <br />n <br />cn <br />co <br />J ..... <br />L:- T- <br />�+. r1 1 <br />CD <br />I CA..) <br />(I) <br />Return to: Denise Myers, Attorney <br />P.O. Box 505 <br />Cairo, NE 68824 <br />REVOCABLE TRANSFER ON DEATH DEED <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 <br />you 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: Mailing Address of Owner: <br />Elizabeth E. Obermiller 4255 Michigan Ave. <br />(a single person) 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 />Lot Two (2) in Block One (1), in Capital Heights Fourth Subdivision, being a tract of land comprising a part of <br />the Southwest Quarter (SW1/4) of Section Two (2), Township Eleven (11) North, Range Ten (10) West of the 6th P.M., <br />Hall County, Nebraska. <br />Primary Beneficiary: <br />I designate the following beneficiaries of this revocable transfer on death deed (as tenants in common) if the <br />beneficiaries survive me: <br />Name of Primary Beneficiaries: Mailing Address of Primary Beneficiaries: <br />Anne Kraus 3112 Magnolia Ct., Grand Island, NE 68803 <br />Jama Obermiller 2015 Stagecoach Rd., Grand Island, NE 68801 <br />Transfer on Death: <br />At my death I transfer my interest in the described property to the beneficiaries as designated above. The transfer <br />occurs at my death. <br />Survivorship Required: <br />Under Nebraska Law, the interest of a designated beneficiary is contingent on the designated beneficiary surviving the <br />transferor by one hundred twenty (120) hours. <br />This TOD Deed is Revocable: <br />Before my death, I have the right to revoke this deed. <br />Growing Crops: <br />If this land is agricultural land the growing crops shall pass to: <br />X My primary or alternate beneficiary <br />My estate <br />I understand that if I make no choice growing crops pass to my estate. <br />Legally Required Warning in the TOD Deed: <br />