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IfST 7073 038 I q <br />CASH cgc9 -00 <br />CHECK <br />REFUNDS: <br />CASH <br />CHECK <br />HALL <br />2073 <br />NIE <br />• 30 <br />space above this line for recorder's use only <br />This deed was prepared by: <br />Name: Derotk( S. (MY' moc{'ter <br />Address: 1512 S h e r rh ctr► C t <br />City: fxrand rsfav\d, <br />State: NE Zip Code: ,6'8"$03 <br />Phone: 3 0.1(-3q /- 2623 <br />After recording, please return to: <br />Name: Qreb e f orotky arvn i*m he r <br />Address: 1S3 S h e r 'Ann v► C r <br />City: Cvnad Island <br />State: A) E Zip Code: 6 r8't 3 <br />Phone: 30$--2q/-2(23 <br />Nebraska Transfer on Death Deed <br />I, DorotkyJ, Ltkrm°crler (Owner), being of sound mind and legal capacity, hereby <br />convey, effective upon my death, the following described real property located in Nebraska: <br />Lot` (Jo), Iwr peril f Vi lfvye F,yh -h sib <br />to the city of rconci Isl dnd, Md ►I Couvtyjive <br />Owner Full Name: Oa r c rky k r m o c h e r Marital Status: W ci irYI e d <br />Address: 1832 S I a. r yy\p h C -r (� row d Is l a n d, N>;' 6O 3 <br />Prior Names, if any, used by the Owner: De,ira 'rky 1. Lank bet, t <br />I designate the following primary beneficiary as grantee: <br />Beneficiary: tc ve a r j Ukernocke r, -Se. Marital Status: sin 91 e <br />Address: t -( Ott" Jk)or-PIn Poiht, 1rjr,dIsland, NF. 61ss03 <br />If the beneficiary does not survive me, I designate the following alternate beneficiary as grantee: <br />Beneficiary: ames [MY MaC.631^ Marital Status: Morn e d <br />Address: 75 -Os; Dart i Ka j0 r. E n M, ©K 73703 <br />El <br />