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N.�,<<.,it to: <br />Ronald S. Depue <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />OD <br />—71 <br />CJ <br />ry <br />CLQ <br />rn <br />r` <br />r <br />Space Above Line Reserved for Recording Purposes <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 <br />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 requirements <br />is not met, this form will not be effective. <br />Identifying Information about Owner(s) <br />Name of Owner <br />MARIETTA BEAZLEY 16 ST. JAMES PL <br />GRAND ISLAND, NE 68803 <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 the <br />Primary Beneficiary or to the Alternate Beneficiary as provided below. <br />Lot Sixteen (16), in Block Seven (7), Unit Four (4), Continental Gardens, an <br />Addition to the City of Grand Island, Hall County, Nebraska <br />Primary Beneficiaries: <br />I designate the following beneficiaries of this revocable transfer on death deed if the beneficiaries <br />survive me. <br />Transfer on Death Deed - Page No. 1 <br />ON 1N31Wf1L1SNI SY 03131N3 <br />