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CASH <br />CHECK /6' •cO <br />REFUNDS: <br />CASH <br />CHECK <br />RECU1 ED <br />HALL C . `' _< NE <br />INST 2023 0 0 14 1 8 NB JAN E A 8: 514 <br />/ Return to: Goding Law LLC PO Box 5627 Grand Island NE 68803 <br />-}KRIST! WtiL <br />REGISTER OF DEEDS <br />REVOCABLE TRANSFER ON DEATH DEED <br />(Joint Tenants Owner) <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 />Lyndall R. Hulit and Mary K. Hulit, husband and wife, joint tenants <br />1117 W 11th Street <br />Grand Island NE 68801 <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 both of the <br />Owners to the Primary Beneficiary or to the Alternate Beneficiary as provided below: <br />Lots Four (4) and Five (5), Block Eleven (11), in Gilbert's Addition to the City of Grand <br />Island, Hall County, Nebraska. <br />Primary Beneficiary <br />I designate the following three beneficiaries to receive equal shares as tenants in common: <br />Sean R. Hulit, 401 Oakford Lane, Polk City, IA 50226 <br />Bryan J. Hulit, 13722 Post Oak Lane, Platte City, MO 64079 <br />Sarah K. Bartlett, 2417 S. 113th Street, Omaha NE 68144 <br />Transfer on Death <br />At my death, I transfer my interest in the described property to the beneficiaries as designated <br />above. The transfer occurs at the death of the surviving Transferor/Joint Tenant. <br />Survivorship Required <br />Under Nebraska law, the interest of a designated beneficiary is contingent on the designated <br />beneficiary surviving the transferor by one hundred twenty hours. <br />This TOD Deed is Revocable <br />Before my death, I have the right to revoke this deed. <br />Legal Warnings: <br />Please pay close attention to the following warnings: <br />A. The property transferred remains subject to inheritance taxation in Nebraska to the <br />same extent as if owned by the transferor at death. Failure to timely pay inheritance taxes is <br />subject to interest and penalties as provided by law. <br />1 <br />