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rn <br />-11 <br />N r n <br />N� rnu • • <br />cri <br />(0 <br />Return to: <br />/Ronald S. Depue <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 - <br />r <br />CD <br />J <br />I l`J <br />C: <br />�\J <br />(51 <br />co <br />Space Above Line Reserved for Recording Purposes <br />• RE -VOCABLE 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 />'phis 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 />KAREN F. TERRY. <br />f/k/a KAREN F. KEHM <br />2020 N. HUSTON AVE. <br />GRAND ISLAND, NE 68803 <br />Notice to Register of Deeds <br />This is a transfer on death deed and Fortn 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 />Lot Six (6), Block One (1), in Cunningham Subdivision, an Addition to the City of <br />Grand Island, Hall County, Nebraska <br />'Transfer on Death Deed - Page No. 1 <br />