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8tL£00Z0Z <br />or) <br />Once recorded, return to: <br />Parker, Grossart & Bahensky, L.L.P. <br />P.O. Box 1600, Kearney. NE 68848-1600 <br />AFFIDAVIT OF DISINTERESTED WITNESSES FOR <br />REVOCABLE TRANSFER ON DEATH DEED <br />(Two Owners) <br />STATE OF NEBRASKA <br />COUNTY OF BUFFALO <br />The affiants are: <br />Randal R. Falldorf <br />Lonna M. Falldorf <br />Rhonda S. Healey <br />Carol A. Leopold <br />) ss: <br />The affiants together and separately each state the following. <br />1. On June 3, 2020, Randal R. Falldorf and Lonna M. Falldorf, as Transferors signed a <br />revocable transfer on death deed concerning the real estate legally described below and the two <br />witnesses signed a; witnesses. <br />2. Under Neb. Rev. Stat. §76-3409 a revocable transfer on death deed must be signed by two <br />disinterested witnesses. Under Neb. Rev. Stat. §76-3402(3) a disinterested witness is someone who <br />is not a designated beneficiary and who is not an heir, a child or a spouse of the designated <br />beneficiary. <br />3. By signing this document the transferor along with the two witnesses each state that each <br />of the two witnesses is a disinterested witness. <br />deed. <br />deed. <br />4. The Legal Description of the real estate affected is: <br />Lots Eighteen (18) and Thirty (30), Block Seven (7), Unit Three (3), <br />Continental Gardens, an Addition to the City of Grand Island, Hall <br />County, Nebraska. <br />5. The Transferors are the current owners of the real estate legally described above. <br />6. Neither of the witnesses above is a designated beneficiary under the transfer on death deed <br />7. Neither of the witnesses is an heir of a designated beneficiary under the transfer on death <br />8. Neither of the witnesses is a child of a designated beneficiary under the transfer on death <br />9. Neither of the witnesses is a spouse of a designated beneficiary under the transfer on death <br />1 <br />40 <br />