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— <br />m <br />Return 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 Beverly D. Hahn. Said transfer to be effective at my death. The real estate (as <br />defined in Neb. Rev. Stat. §76-201) in Hall County, Nebraska is described as follows: <br />Southwest Quarter of the Northwest Quarter (SW1/4NW1/4) of Section Sixteen (16), <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 on Deatirked that <br />I made before signing this deed. <br />Executed: /)2 , 2021. <br />I Dolores J. Allan, the transferor, sign my name to this instrument this(b day of <br />, 2021, and being first duly sworn, do hereby declare to the undersigned authority <br />thatsign 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. <br />Dolores J. Allah, Transferor <br />We, c\Nc > \\, and 1 ACit SSA- 0(01 , 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 tl}e ransfe or is of so t� d mind and under no constraint or undue influence. <br />Witness <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) ss: <br />Subscribed, sworn to, and acknowl <br />subscribed and sworn to before me by 1 <br />witnesses, this t - day of (L4 . rY,� <br />Witness <br />edged before by Dolores J. Allan the transferor, and <br />_ and <br />, 2021. <br />ft GENERAL NOTARY - State of Nebraska <br />GALEN E. STEHLIK <br />fEr..; My Comm. Exp. May 1, 2022 <br />1 6,_ <br />