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iL880ZZOZ <br />Return to <br />Mary J. Livingston <br />P 0 Box 1563 <br />Grand Island NE 68802 <br />rrl <br />C. <br />TRANSFER ON DEATH <br />PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON <br />DEATH ACT <br />I, Derek A. Hays, a single person, Grantor/Transferor, transfer all of my <br />interest in the following described property to the named beneficiary, Shawn R. <br />Arora, a single person. Said transfer to be effective at my death. The real estate <br />(as defined in Neb. Rev. Stat. 76-201) in Hall County, Nebraska is described as <br />follows: <br />Lot Two (2), Rasa Subdivision, in the City of Grand Island, Hall County, <br />Nebraska. <br />Also known as 1721. W. Anna Street, Grand Island, Nebraska. <br />I may revoke this deed. When recorded, this deed revokes any Transfer on <br />Death deed that I made before signing this deed. <br />Executed: December 23, 2022. <br />I, Derek A. Hays, the transferor, sign my name to this instrument this 23rd <br />day of December, 2022, and being first duly sworn, do hereby declare to the <br />undersigned authority that I sign and execute this transfer on death deed to <br />transfer my interest in the described real property and that I sign it willingly or <br />willingly direct another to sign for me, that I execute it as my free and voluntary act <br />for the purposes therein expressed, that I am eighteen years of age or older or am <br />not at this time a minor and that I am of sound mind and under no constraint or <br />under influence. <br />Derek A. Hays, Transfe • r <br />We, tri4N 11i 3who and o n L , L,-) 1 I , <br />the witnesses, sign our names to this instrument, being first duly sworn, and do <br />hereby declare to the undersigned authority that the transferor signs and executes <br />this transfer on death deed to transfer his interest in the described real property <br />and that he signs it willingly or willingly directs another to sign for him, and he <br />executes it as his free and voluntary act for the purposes therein expressed, and <br />that each of us, in the presence and hearing of the transferor, hereby signs this deed <br />as witness to the transferor's signing, and that to the best of their knowledge the <br />transferor is eighteen years of age or older or is not at this time a minor and the <br />3V N1 Sv <br />