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Return to: <br />Ronald S. Depue <br />V 308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />m <br />CI � <br />z <br />X=1/1 <br />nn > <br />= > co <br />rri (-11 Cr) <br />r= I :-, <br />M,, <br />• <br />N <br />CO <br />.:J <br />IT; <br />_ fTt <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 />ALICE C. MAHOOD 3112 BRIARWOOD BLVD. <br />GRAND ISLAND, NE 68801 <br />Notice to Register of Deeds <br />This is a transfer on death deed and Form 521 is not required with the fling 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 Fifteen (15) in Block Two (2) in Brentwood Subdivision in the City of Grand <br />Island, Hall County, Nebraska <br />Transfer on Death Deed - Page No. 1 <br />PN IN3W(i? 1SNJ SV U3N3143 <br />