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0£I-00£Z0Z <br />-712 <br />INST 2013 00130 <br />CASH 1 (jj UC) <br />CHECK <br />REFUNDS: y. <br />CASH <br />CHECK <br />RECORDED <br />HALL COUNTY NE <br />1023 JANI0 P 12: 31 <br />K[,ISTI WOLD <br />REGISTER LfbS <br />SPACE ABOVE RESERVED FOR REGISTER OF DEEDS OFFICE RECORDING INFORMATION <br />Return to: Deanna D. Jacobsen 2512 Charles Street, Grand Island NE 68803 <br />NEBRASKA REVOCABLE TRANSFER ON DEATH DEED <br />On this JO day of ,14nwor 2023, I, Deanna D. Jacobsen, the transferor, <br />being first duly sworn, sign my r me to this instrument to transfer on my death to <br />my children Dennis J. Jacobsen, David A. Jacobsen, Teri Ann Joachim, Daniel I. <br />Jacobsen, and Darin W. Jacobsen, as tenants in common, the real property <br />described below: <br />Legal Description: LOT SIXTEEN (16) IN BLOCK TEN (10), ASHTON <br />PLACE, AN ADDITION TO THE CITY OF GRAND ISLAND, HALL <br />COUNTY NEBRASKA. <br />And more commonly known as 2512 Charles Street, Grand Island NE 68803. <br />I further do hereby declare to the undersigned authority that I sign and execute this <br />transfer on death deed to transfer my interest in the described real property <br />willingly, I execute it as my free and voluntary act for the purposes therein <br />expressed, I am eighteen years of age or older, and that I am of sound mind and <br />under no constraint or undue influence. <br />DEANNA D JACOBS'►�, Transferor <br />Page 1 of 2 <br />