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m <br />-n <br />n <br />z <br />0 <br />r = .. <br />Return to <br />Mary J. Livingston <br />P O Box 1563 <br />Grand Island NE 68802 <br />TRANSFER ON DEATH <br />PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON <br />DEATH ACT <br />I, Carolyn M. Boerkircher, a single person, Grantor/Transferor, transfer all of my interest <br />in the following described property to the named beneficiaries, David A. Boerkircher and <br />Colleen A. Maxon, as joint tenants. 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 />Lot Two (2) in Block Thirty Seven (37) in Charles Wasmer's Addition to the City of <br />Grand Island, Hall County, Nebraska. <br />Also known as 1407 W. Louise Street, Grand Island, Nebraska. <br />I may revoke this deed. When recorded, this deed revokes any Transfer on Death deed <br />that I made before signing this deed. <br />Executed: J`(,L2-`1) g , 2021. <br />I, Carolyn M. Boerkircher, the transferor, sign my name to this instrument this day of <br />Ly , 2021, and being first duly sworn, do hereby declare to the undersigned <br />authority that I sign and execute this transfer on death deed to transfer my interest in the <br />described real property and that 1 sigvt it willingly or willingly direct another to <br />sign for me, that I execute it as wty free and voluntary act For the purposes <br />therein expressed, that I awt eighteen years of age or older or am vtot at <br />this tiwte a wtivtor and that 1 am of sound mind and under vto constraint or <br />under influence. <br />Carolyn M. Boerkircher, Transferor <br />QN 1N3Wfl J1SN1 SY 03I31N3 <br />