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INST 2673 0 3 2 3 1 HAL1_ r CASH CHEC REFUNDS: CASH CHECK NI 7- 2D23 50 REG `. ter;= 22aa Return to: Goding Law LLC, PO Box 5627, Grand Island NE 68802 REVOCABLE TRANSFER ON DEATH DEED (Single Owner) Notice to Owner You should carefully read all information on this form. You may want to consult a lawyer before using this form. This form must be recorded with the Register of Deeds of the County in which the property is located before your death, and it also must be recorded with the Register of Deeds of the County in which the property is located within 30 days after it was signed. If either of these requirements is not met, this form will not be effective. Identifying Information about Owner: Beverly J. Wildauer 4310 Claussen Road Grand Island NE 68803 Notice to Register of Deeds This is a transfer on death deed and Form 521 is not required with the filing of this Transfer on Death deed under Neb. Rev. Stat. § 76-214(2)(b). Legal Description The following real estate is transferred by this document, effective at the death of the Owner to the Primary Beneficiary or to the Alternate Beneficiary as provided below. LOT EIGHT (8) IN JACK VOSS SUBDIVISION, BEING A PART OF THE WEST HALF OF THE SOUTHWEST QUARTER (W 1/2 FO SW 1/4 OF SECTION TWO (2), TOWNSHIP ELEVEN (11) NORTH, RANGE TEN (10) WEST OF THE 6TH P.M., HALL COUNTY, NEBRASKA. Primary Beneficiary I designate the following beneficiaries to receive equal shares as tenants in common: Kirsten Rebekah Wildauer, 18115 68th Ave NE Apt 310, Kenmore WA 98028 Nathan Carl Wildauer, PO Box 12, Epworth GA 30541 Sondra Elizabeth Brakenhoff, 1529 Edgewood Dr., Milford IA 51351 Brant William Wildauer, 18115 68th Ave NE Apt 310, Kenmore WA 98028 Transfer on Death At my death, I transfer my interest in the described property to the beneficiaries as designated above. The transfer occurs at the death of the Transferor. 1