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202207560 <br />Signature of Owner Making This Transfer on Death Deed <br />I, Kathleen K. Kamper, a single person, the transferor, sign my names to this instrument on <br />, 2022, 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 described <br />real property and that I sign it willingly or willingly direct another to sign for me, that I execute it <br />as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or <br />older or am not at this time a minor, and that I am of sound mind and under no constraint or undue <br />influence. <br />Kathleen K. Kamper, Transferor <br />Warning: The two witnesses must be disinterested for this Deed to be valid. An interested <br />witness means any individual who on the date that this deed is or would be entitled to receive <br />any interest in the land under this transfer on death deed if the transferor died under the <br />circumstances existing at the date of the signing of this deed or any child, spouse or heir of that <br />person. <br />We, Nps, Sc te, ti and li Ssewc earet'or ntemkka.7, the <br />witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the <br />undersigned authority that the transferor signs and executes this transfer on death deed to transfer <br />his or her interest in the described real property and that he or she signs it willingly or willingly <br />directs another to sign for him or her, and that he or she execute it as his or her free and voluntary <br />act for the purposes therein expressed, and that each of us, in the presence and hearing of the <br />transferor, hereby signs this deed as witness to the transferor's signing, and that to the best of his <br />or her knowledge the transferor is eighteen years of age or older or is not at this time a minor and <br />the transferor is of sound mind and under no constraint or undue influence. <br />308 N. Locust, Ste. 501, Grand Island, NE 68801 <br />Witness' Address <br />308 N. Locust, Ste. 501, Grand Island, NE 68801 <br />Witness' Address <br />Acknowledgement <br />STATE OF NEBRASKA, COUNTY OF HALL, SS: <br />Subscribed, sworn to, and acknowledged before me by Kathleen K. Kamper, the transferor, and <br />subscribed and sworn to before me by N r a SChf o II and <br />yps riia C3 r(OL Nierriet, witnesses, this 7 0 day of 004ca— , 2022. <br />[Seal] <br />A GENERAL NOTARY - State of Nebraska <br />ZACHARY BUTZ <br />'mou My Comm. Exp. May 16, 2025 <br />Notary <br />My Co <br />nExpires <br />Transfer on Death Deed - Page No. 3 <br />