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rn <br />rn <br />C <br />n Z <br />v <br />= •V• <br />1 <br />= D <br />tri_ <br />0NI (Space Above This Line for Recording Data) <br />AFTER RECORDING, RETURN TO: Daniel I. Dittman, Erickson I Sederstrom, P.C., 10330 Regency Parkway Drive, Omaha, NE 68114 <br />REVOCABLE TRANSFER ON DEATH DEED <br />(Single Owner wI Joinder of Spouse) <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 <br />requirements is not met, this form will not be effective. <br />Identifying Information about Owner <br />Name of Owner <br />Thomas E. Moroney, a married person <br />Spouse of Owner <br />Beth E. Moroney, a married person <br />Mailing Address of Owner <br />113 W 18th Street <br />Grand Island, NE 68801 <br />Mailing Address of Owner <br />113 W 18th Street <br />Grand Island, NE 68801 <br />Thomas E. Moroney and Beth E. Moroney are wife and husband to each other. <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 />rt.„ <br />rr,ij <br />GD <br />rriCa 7-4 <br />g 60 <br />