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CASH CHECK ZZoo Return to: !HST 20211 0 u 1 3 0 Brandon S. Connick Smith Johnson Law Firm 104 N. Wheeler Avenue Grand Island, NE 68801 REFUNDS: CASH CHECK RECORDED HALL CC-1. ' °'`'TY NE 20211OC; i 4111 � US .°FOLD REGISTER OF DEEDS REVOCABLE TRANSFER ON DEATH DEED Notice to Owner You should carefully read all information on this form. This transfer on death deed must be recorded with the Register of Deeds of the County in which the property is located, before your death and within 30 days after being signed. If either of these requirements is not met, this transfer on death deed will not be effective. Identifying Information about Owners Name of Owners Mailing Address of Owners Billie Jean Berta, also known as Billie J. Berta 2707 W. Louise Grand Island, NE 68803 Notice to Register of Deeds This is a transfer on death deed, and Form 521 is not required with the filing of this transfer on death deed under Neb. Rev. Stat. §76-214(2)(b). Legal Description The following real estate is transferred by this document, effective at the deaths of the Owner, to the Beneficiary as provided below: The East 20 feet of Lot Six (6), and the West Half of Lot Seven (7), in Block Fifty Nine (59), Original Town, Grand Island, Hall County, Nebraska, excepting the Utility easement granted to the City of Grand Island, Nebraska, described as the northerly 20 feet of the easterly 20 feet of Lot Six (6), Block Fifty Nine (59), Original Town, now the City of Grand Island, Hall County, Nebraska; and The Westerly Twelve Feet (W12') of Lot One (1) and the Easterly Forty Feet (E40') of Lot Two (2), Block Two (2), in Gladstone Place, in the City of Grand Island, Hall County, Nebraska. Beneficiary I designate the following beneficiary of this revocable transfer on death deed if the beneficiary survives me: Name of Beneficiary Jerri J. Cutrer Mailing Address of Beneficiary 2419 Sothman Dr. Grand Island, NE 68801 Page 1 of 3