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CASH <br />CHECK 2V) <br />REFUNDS: <br />CASH <br />0.�! CHECK <br />�� <br />CJ1 RECORDED <br />t�, �.., k-� .fRD1 <br />ED <br />rn -- HALL CCY_'''fTY NE <br />w <br />INS 2925 0 0 L13 1015 FE:0 - A 9: 00 <br />Return to: <br />achary Butz <br />t/Z <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />Space Above Line Reserved for Recording Purposes <br />REVOCABLE TRANSFER ON DEATH DEED <br />Notice to Owner <br />'JOLD <br />REGISTER OF DEEDS <br />You should carefully read all information on this form. You May Want to Consult a Lawyer before <br />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 <br />TERRI PERKINS <br />Notice to Register of Deeds <br />3517 Schroeder Ave. <br />Grand Island, NE 68801 <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 Owner to the <br />Primary Beneficiary or to the Alternate Beneficiary as provided below. <br />Lot Two (2), Block Two (2) in Westroads Estates Second Subdivision, located in <br />the Northwest Quarter of the Northeast Quarter (NW1/4NE1/4) of Section Thirty-five <br />Transfer on Death Deed - Page No. 1 <br />