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N� <br />Ni <br />co <br />rn <br />n z <br />z <br />a <br />rn> <br />n=N <br />V Retum to: Galen E. Stehlik, P 0 Box 400, Grand Island NE 68802 <br />TRANSFER ON DEATH <br />PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON DEATH ACT <br />I, Dolores J. Allan, Grantor/Transferor, transfer all of my interest in the following described <br />property to the named beneficiary, Karen J. Codner. Said transfer to be effective at my death. <br />The real estate (as defined in Neb. Rev. Stat. §76-201) in Hall County, Nebraska is described as <br />follows: <br />The North Half of the Northeast Quarter (1/2 NE '/) of Section Twenty -One (21), <br />Township Ten (10) North, Range Twelve (12) West of the 6th P.M., Hall County, Nebraska. <br />I may revoke this deed. When recorded this deed revokes any Transfer onDeathdeed that <br />I made before signing this deed. <br />Executed: /%n /I , 2021. <br />I, Dolores J. Allan, the transferor, sign my name to this instrument this /IF day of <br />I1� , 2021, and being first duly sworn, do hereby declare to the undersigned authority <br />that I sign and execute this transfer on death deed to transfer my interest in the described real <br />property and that I sign it willingly or willingly direct another to sign for me, that I execute <br />it as my free and voluntary act for the purposes therein expressed, that I am eighteen years <br />of age or older or am not at this time a minor and that I am of sound mind and under no <br />constraint or under influence. /C-} <br />A i d r ' gr <br />Dolores J. Allan, Transferor <br />1�1 <br />We,©.� \ and (NA-at5ga-- I-11 VCD'\ , the witnesses, sign <br />our names to this instrument, being first duly sworn, and do hereby declare to the <br />undersigned authority that the transferor signs and executes this transfer on death deed to <br />transfer her interest in the described real property and that she signs it willingly or willingly <br />directs another to sign for her, and she executes it as her free and voluntary act for the <br />purposes therein expressed, and that each of us, in the presence and hearing of the <br />transferor, hereby signs this deed as witness to the transferor's signing, and that to the best <br />of her knowledge the transferor is eighteen years of age or older or is not at this time a minor <br />and thee -t sferor is of so d t ind and under no constraint or undue influence. <br />Witness <br />STATE OF NEBRASKA ) <br />) ss: <br />COUNTY OF HALL ) <br />Witness <br />Subscribed, sworn to, and acknow edged before me by nolores J. Allan, the transferor, and <br />subscribed and sworn to before me by ‘kvkw.._ L L t `1 and KAr,t, 141 x , <br />witnesses, this ( day of Ma.a-CL , 2021. <br />GENERAL NOTARY - State 01 NeUra6Ka <br />GALEN E. STEHLIK <br />My Comm. Exp. May 1, 2022 <br />ON 1N3WfNisNi SV a331N3 <br />