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N <br />CD <br />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 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 />West Seventy -Two Feet (W72') of Lot Ten (10), Wade Subdivision, Grand Island, Hall <br />County, Nebraska. <br />I may revoke this deed. When recorded this deed revokes any Transfer onDeath deed that <br />I made before signing this deed. <br />Executed! ✓���,,��pj /k , 2021. <br />I, Dolores J. Allan, the transferor, sign my name to this instrument this tday of <br />pt a -t,lr— , 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. <br />Dolores J. Allan, Transferor <br />\\ and Mr. i s _ 7 xc;✓\ , 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 the transferor is of s and mind and under no constraint or undue influence. <br />Witness <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />) ss: <br />��-- <br />4;f)""--- <br />Witness <br />Subscribed, sworn to, and acknowledged before py olores J. Allan, the transferor, and <br />subscribed and sworn to before me by ,,r 1/4 e L \ \\ and VUct6SG— t -h Xer\ , <br />witnesses, this V t day of M t,. -r-01 , 2021. <br />GENERAL NOTARY - State of Nebraska <br />GALEN E. STEHLIK <br />My Comm. Exp. May 1, 2022 <br />teary Public <br />