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Once recorded, return to: Parker, Grossart & Bahensky, L.L.P. P.O. Box 1600, Kearney, NE 68848-1600 C rrl Q . as � REVOCABLE TRANSFER ON DEATH DEED Notice to Owners: You should each 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. Identifying Information about Owner(s): Name of Owners Mailing Address of Owner Randal R. Falldorf and Lonna M. Falldorf, as joint tenants and not as tenants in. Couinior Notice to Register of Deeds: 18 St. James Place Grand Island, NE 68803 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). Legal Description: The following real estate is transferred by this document, effective at the death of the survivor of the Owners to the Primary Beneficiary or to the Alternate Beneficiary as provided below. Lots Eighteen (18) and Thirty (30), Block Seven (7), Unit Three (3), Continental Gardens, an Addition to the City of Grand Island, Hall County, Nebraska. We intend that if any primary beneficiary of any share listed below does not survive the survivor of the Owners, that the alternate beneficiary for that share Tail receive the share of that primary beneficiary rather than the other primary beneficiary or beneficiaries. Primary Beneficiaries: We designate that each of the following named beneficiaries are to receive a one-third ('/s) share of the real estate covered by this revocable transfer on death deed if the beneficiary survives me. 1