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CASH <br />CHECK Z2-°° <br />REFUN[' <br />N RECORDED <br />0 HALL COUNTY NE <br />w <br />INST 2024 0 3 1 3 1 2024 AUG -1 P I= 41 <br />RECORD AND RETURN TO: <br />Kevin A. Brostro , #16208 <br />1811 West 2nd St., uite 360 <br />Grand Island, NE 8803 <br />(308) 382-7810 <br />KRISTI',f'JOLD <br />REGISTER OF DEEDS <br />2,2_°° <br />REVOCABLE TRANSER ON DEATH DEED <br />NOTICE TO GRANTOR <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 />IDENTIFY INFORMATION ABOUT OWNER <br />Grantors making this deed: <br />Richard F. Fox and Marilyn S. Fox, Husband and Wife <br />1316 Meadow Rd. <br />Grand Island, NE 68803 <br />NOTICE TO REGISTER OF DEEDS <br />This is a transfer on death deed and Form 521 is not required with the filing of this Transfer on <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 death of the Grantor to <br />the Primary Beneficiary: <br />Lot Seven (7) in Block Two (2) in Summerfield Estates First Subdivision to the City of <br />Grand Island, Hall County, Nebraska. <br />PRIMARY BENEFICIARY <br />Grantor designates the following Primary Beneficiary of this revocable transfer on death deed: <br />Kristina S. Kosmicici, 1808 N. Park Ave., Grand Island, NE 68803. <br />TRANSFER ON DEATH <br />At the Grantors' death, Grantors transfer Grantors' interest in the described property to the Primary <br />Beneficiary as designated above. The transfer occurs at the death of the Grantors. <br />