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CASH <br />CHECK p� F-60 <br />After recording, please return to: <br />/ Grant M. Pascke, Attorney <br />/ P.O. Box l <br />Aurora, NE 68818 <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL COUNTY 9NTY NE <br />INST 7025 0 0 0 Li 1 2015 JAN -3 J 4: 45 <br />REVOCABLE TRANSFER ON DEATH DEED <br />,rc . i *VOLD <br />REGISTER OF DEEDS <br />Z <br />Notice to Owner/Transferor <br />This deed must be recorded before your death with the Register of Deeds of the County in which <br />the real property is located and it also must be recorded with the Register of Deeds of the County <br />in which the real property is located within 30 days after it was signed. If either of these <br />requirements is not met, this deed will not be effective. <br />Identifying Information of Owner/Transferor: <br />Name of Owner/Transferor: Mailing Address of Owner/Transferor: <br />Sandra L. Hatheway 415 West Division St, Grand Island, NE <br />68801 <br />Notice to Register of Deeds <br />This is a Revocable Transfer on Death Deed and Form 521 is not required with the filing of this <br />deed under Neb. Rev. Stat. §76-214(2)(b). <br />Legal Description <br />The following real property is transferred by this document, effective at the death of the <br />Owner/Transferor to the Primary Beneficiaries or to the Alternate Beneficiary as provided below: <br />LOT THREE (3) IN BLOCK NINTEY NINE (99), IN RAILROAD ADDITION TO THE CITY <br />OF GRAND ISLAND, HALL COUNTY, NEBRASKA <br />Revocable Transfer on Death Deed <br />Page 1 <br />