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INST 1024 0 1 12 U <br />Return to: <br />Zachary Butz <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />CASH_ <br />CHECK HECK <br />REFUNDS <br />CASH <br />CHECK <br />RDEP <br />HALL JN - rt NE <br />20211 APR 22 <br />3# <br />KRIST+ `NOLD <br />REGISTER OF DEEDS <br />,22 00 <br />Space Above Line Reserved for Recording Purposes <br />REVOCABLE TRANSFER ON DEATH DEED <br />(More than One Owner) <br />Notice to Owners <br />You should each carefully read all information on this form. You May Want to Consult a Lawyer <br />before Using This Form. <br />This form must be recorded with the Register of Deeds of the County in which the property is <br />located before your death, and it also must be recorded with the Register of Deeds of the County <br />in which the property is located within 30 days after it was signed. If either of these requirements <br />is not met, this form will not be effective. <br />Identifying Information about Owner(s) <br />Name of Owner Mailing Address of Owner <br />ISRAEL ALFONSO RAMOS 1208 E. Bismark Rd. <br />GUERRA Grand Island, NE 68801 <br />PATRICIA ELIZABETH 1208 E. Bismark Rd. <br />MARTINEZ CARDONA 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 <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 deat. <br />the Owners to the Primary Beneficiary or to the Alternate Beneficiary as provi <br />Lot Fifty (50), Hawthorne Place, an Addition to the City of Grand <br />County, Nebraska <br />Transfer on <br />of this Transfer on <br />1 of the survivor of <br />ded below. <br />sland, Hall <br />Death Deed - Page No. 1 <br />