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(_� kpa n <br />Y ' v -- 'TIS Frt N <br />G C r = <br />z <br />X = <br />1 <br />C.7 <br />REVOCABLE TRANSFER OF DEATH DEED <br />Identifying Information about Owner: a° <br />Name of Owner Mailing Address of Owner <br />DAVID L. LARSON 3440 Graham Avenue <br />Grand Island, NE 68803 <br />Legal Description: <br />The following real estate is transferred by this document, effective at the death of the <br />Owner to the Primary Beneficiary, as provided below. <br />Lot Five (5) , Block One (1), Fireside Estates Subdivision located in the <br />Northwest Quarter of the Northeast Quarter (NW 1 / 4 NE 1 / 4) of Section 35, <br />Township 11 North, Range 10, West of the 6th p.m. in Hall County, Nebraska. <br />Lots One (1), Two (2), Three (3), Four (4) and Five (5) in Block Six (6) in Baker's <br />Addition to the City of Grand Island, Hall County Nebraska, except a strip <br />Seventeen (17) feet wide, centered on the center line of the St. Joseph and <br />Grand Island Railroad Spur through said premises, and including all that part <br />of Morton Street which lies West of Second Street in the City of Grand Island, <br />Nebraska, as surveyed, platted and recorded. <br />Name of Primary Beneficiary Mailing Address of Beneficiary <br />Mark C. Patton 7203 Opaekaa Street <br />Honolulu, HI 96825 <br />Transfer on Death: <br />At my death, I transfer my interest in the described property to the Beneficiary as <br />designated above. The transfer occurs at the death of the Transferor. <br />Survivorship Required: <br />Under Nebraska law, the interest of a designated beneficiary is contingent on the <br />designated beneficiary surviving the transferor by one hundred twenty hours. <br />