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) <br />C1) <br />;7 <br />01 <br />r._ <br />CD iC7 <br />'rv^ rn <br />V <br />c <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 />Kent Luebs <br />Mona Luebs <br />Notice to Register of Deeds: <br />12234 W. Schultz Road <br />Wood River, NE 68883 <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 One (1), Luebs Subdivision, Hall County, Nebraska. <br />Primary Beneficiary: <br />We designate the following beneficiaries of this revocable transfer on death deed if the beneficiaries survive the survivor <br />of us. <br />Name of Primary Beneficiary: Mailing Address of Primary Beneficiary: <br />Hannah K. Gloe 10525 Wildwood Drive <br />Wood River, NE 68883 <br />Transfer on Death: <br />At the death of the survivor of us, we transfer our interest in the described property to the beneficiary as designated <br />above. The transfer occurs at the death of the survivor of the Transferors. <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 />Ite 600 <br />