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..ml=1•11 <br />A <br />N <br />0) <br />O) <br />N <br />gimIMAW <br />✓ Return to: Goding Law LLC, PO Box 5627, Grand Island NE 68802 <br />CORRECTIVE REVOCABLE TRANSFER ON DEATH DEED <br />(Single Owner) <br />rn <br />rn <br />rn <br />ry <br />rJ <br />armol <br />N„) <br />Cr) <br />03 <br />F--+ <br />•moi <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. This form must be recorded with the Register of Deeds of the County in which <br />the property is located before your death, and it also must be recorded with the Register of Deeds <br />of the County in which the property is located within 30 days after it was signed. If either of <br />these requirements is not met, this form will not be effective. <br />Identifying Information about Owner: <br />Virginia M. Hickey <br />115 Asteroid Court <br />Alda NE 68810 <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 <br />the Primary Beneficiary or to the Alternate Beneficiary as provided below. <br />Lot One (1), Argo Sixth Subdivision, a Replat of part of Argo Third Subdivision to the <br />Village of Alda, Hall County, Nebraska, <br />otherwise known as 115 Asteroid Court, Alda, Nebraska <br />Primary Beneficiary <br />I designate the following three beneficiaries to receive equal shares as tenants in common: <br />Kelli Michele Plihal, 403 E. Railroad St., Shelton, NE 68876 <br />Michael Shane Hickey, 45749 Westcolt Road, Comstock, NE 68828 <br />Mitchell Wayne Hickey, 80255 Grist -Mill Avenue, Scotia, NE 68875 <br />1 <br />