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CASH <br />CHECK 0/1-0) <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL COUNTY NE <br />INST 2023 0 5 LI 15 1013 OCT ! b A ll: 14 <br />KRIS T I WOLD <br />REGISTER OF DEEDS <br />Prepared By: <br />Name: <br />Address: <br />Space above this line for recorder's use only <br />After Recording Return To: <br />Name: <br />Address: <br />FsV- ( <br />NEBRASKA TRANSFER ON DEATH DEED <br />TRANSFEROR INFORMATION. <br />Transferor Full NamejAierd) IL & nt Marital Status: tl orCe <br />Address: 4 0 1 CGC. CeY1 NJ C Yk i- (Cr4,ke la. Z 3 <br />Transferor Full Name: <br />Address: <br />Marital Status: <br />Legal Description of Property: <br />Lo+ a CI au.Sse' Subetivi Si on (6-rard Tstc d, <br />I4c l l <br />Cot.orYhi, -E <br />(WRITE LEGAL DESCRIPTION HERE OR ATTACH EXHIBIT A] <br />BENEFICIARY. I designate the following beneficiary if the beneficiary survives me. <br />4 <br />fiaut <br />beieficorieS <br />Marital S, tatus: V t 1 11 <br />brine �i l4p�, ct (�:: 2 <br />ALTERNATE BENEFICIARY (OPTIONAL). If my primary beneficiary does not survive me, I <br />designate the following alternate beneficiary if that beneficiary survives me. <br />Full Name: Marital Status: <br />Address: <br />eSign <br />Page 1 ofe+ <br />