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Return to Mary J. Livingston P 0 Box 1563 Grand Island NE 68802 INST 2013 0 b 1 9 1 CASH Ch1CK REFUNDS: CASH CHECK HAI_L NE 2023 .s REGISTER OF D TRANSFER ON DEATH PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON DEATH ACT I, James H. O'Brien, a single person, Grantor/Transferor, transfer all of my interest in the following described property to the named beneficiaries, Edward J. O'Brien and Tonia M. Luschei, as joint tenants with rights of survivorship. Said transfer to be effective at my death. The real estate (as defined in Neb. Rev. Stat. 76-201) in Hall County, Nebraska is described as follows: The North 9 Feet of Lot 3 and the south 46 Feet of Lot 1, Block 22, Scuff's Addition to West Lawn, City of Grand Island, Hall County, Nebraska. Also known as 1614 N. Kruse Ave., Grand Island, Nebraska. I may revoke this deed. When recorded, this deed revokes any Transfer on Death deed that I made before signing this deed. Executed: November /3 , 2023. I, James H. O'Brien, the transferor, sign my name to this instrument this L3 day of November, 2023, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this transfer on death deed to transfer my interest in the described real property and that I sign it willingly or willingly direct another to sign for me, that I execute it as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or older or am not at this time a minor and that I am of sound mind and under no constraint or under influence. James H. O'Brien We, 1 (A �+Cc�a and .r'el?ala. the witnesses, sign our�names to this instrument, being first duly sworn, and Flo hereby declare to the undersigned authority that the transferor signs and executes this transfer on death deed to transfer his interest in the described real property and that he signs it willingly or willingly directs another to sign for him, and he executes it as his free and voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing of the transferor, hereby signs this deed as witness to the transferor's signing, and that to the best of their knowledge the transferor is eighteen years of age or older or is not at this time a minor and the transferor is of sound mind and under no constraint or undue influence. u Witness