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b CD NiCD 0) m CD - a m nn —11 = D rn 12Irn= 0 fl7/ l!1 Space Above Line Reserved for Recording Purposes REVOCABLE TRANSFER ON DEATH DEED Return Document to: Supernaw Law Office, 1611 16th St., P.O. Box 228, Central City, NE 68826 Notice to Owner: You should 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 Owner Brad E. Carrick, Sr. and Victoria S. Carrick Mailing Address of Owner 4933 West Capital Avenue Grand Island, NE 68803 Notice to Register of Deeds: 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 Owner, to the Primary Beneficiary or to the Alternate Beneficiary as provided below. PARCEL " A" - A tract of land in the N 1/2 of the NW 1/4 of Section 10, T -11-N, R -10-W of the 6th P. M. in Hall County, Nebraska, more accurately described as follows: Commencing at the NW corner of said Section 10, thence in a southerly direction along the west line of said section 10 a distance of 1319.25 ft. to the W 1/16 corner of the NW 1/4, thence in an easterly direction along the East/ West 1/16 line of the NW 1/4 a distance of 661.68 ft., thence in a northerly direction parallel to the Transfer on Death Deed - Page 1 of 4 N O iv 0 CD C.0 N N rri rin ✓v rn Lel tri Q..