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CASH <br />CHECK 77 o0 <br />689Z09Z0Z <br />REFUNDS: <br />CASH <br />CHECK <br />HALL t - Y NE <br />3 q 2025 i: u }, i i. 31 <br />REGISTER T L:R OF DEEDS <br />22' <br />Return to: <br />Brandon S. Connick <br />Smith Johnson Law Firm <br />104 N. Wheeler Avenue <br />Grand Island, NE 68801 <br />REVOCABLE TRANSFER ON DEATH DEED <br />Notice to Owner <br />You should carefully read all information on this form. <br />This transfer on death deed must be recorded with the Register of Deeds of the County in which <br />the property is located, before your death and within 30 days after being signed. If either of these <br />requirements is not met, this transfer on death deed will not be effective. <br />Identifying Information about Owner <br />Name of Owner Mailing Address of Owners <br />Karen A. Bodenbender <br />1803 Rainbow Road <br />Grand Island, NE 68801 <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 Owner, to <br />the Beneficiary as provided below. <br />Lot Fourteen (14), Trail View Estates Subdivision in the City of Grand Island, Hall <br />County, Nebraska. <br />Beneficiary <br />I designate the following beneficiary of this revocable transfer on death deed if the beneficiary <br />survives me. <br />Name of Beneficiary <br />Diane E. Bodenbender <br />Mailing Address of Beneficiary <br />1803 Rainbow Road <br />Grand Island, NE 68801 <br />Transfer on Death <br />At my death, I transfer my interest in the described property to the beneficiary as designated above. <br />The transfer occurs at the death of the Transferor. <br />Page 1 of 3 <br />