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A�� <br />—16 <br />0 <br />Cyymmusw <br />Return to: <br />Ronald S. Depue <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />13 <br />CC) <br />! rt <br />CD <br />rn <br />rn <br />rn <br />v <br />Lel <br />b <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 />GERALDINE KOEPKE #27 KUESTER LAKE <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 filing 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 />Improvements only on Lot One (1), Kuester's Lake, a part of the East One Half of <br />the Southwest Quarter (E'/2SW1/4) of Section Thirteen (13), Township Eleven (11) <br />North, Range Nine (9) West of the 6th P.M., Hall County, Nebraska, being more <br />particularly descried as follows: with reference to the Northeast corner of said <br />E1/4SW'/4 (the center of the section); thence running westerly on the North line of <br />said E'/2SW'/4 bearing N 00 degrees 00'00" W a distance of 699.12 feet; thence <br />Transfer on Death Deed - Page No. 1 <br />