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CASH <br />CHECK Z2. ." O <br />RECORD AND RETURN TO: <br />Kevin A. Brostrom, #16208 <br />1811 West 2nd St., Suite 360 <br />Grand Island, NE 68803 <br />(308) 382-7810 <br />ItNST 1075 0 0 3 I 9 <br />REFUNDS: <br />CASH <br />CHECK <br />,E.CO QED <br />HALL COUNTY JNTY NE <br />1015 JAN 2 <br />s 3: 15 <br />OLD <br />REGISTER OF DEEDS <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 />Grantor making this deed: <br />Irene D. Pearce, a single person <br />4172 Redwood Court <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 or to the Alternate Beneficiary as provided below: <br />Lot Nineteen (19), Westwood Park Second Subdivision, City of Grand Island, Hall County, <br />Nebraska <br />PRIMARY BENEFICIARY <br />Grantor designates the following Primary Beneficiary of this revocable transfer on death deed: <br />Dennis L. Ryba and Jacqueline S. Ryba, Husband and Wife, both of 13738 V Road, Shelby, <br />NE 68662, as Joint Tenants with Rights of Survivorship. <br />TRANSFER ON DEATH <br />At the Grantor's death, Grantor transfers Grantor's interest in the described property to the Primary <br />Beneficiary as designated above. The transfer occurs at the death of the Grantor. <br />SURVIVORSHIP REQUIRED <br />