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CAS <br />CHEC <br />REFUNDS: <br />CASH <br />N <br />cn <br />w <br />0o <br />IO1d211S8`d 're <br />INST 2015 038b4 <br />Record and return to: <br />Grand Island Abstract <br />704 w 3rd Street <br />Grand Island, NE 68801 <br />RECORDEQ <br />HALL COUNTY Nc <br />1015 ,1UL tS P 3: 39 <br />KRISTI WOLD <br />REGISTER OF DEEDS <br />REVOCATION OF TRANSFER ON DEATH DEED <br />Notice to Owner <br />C I (-e_ �a <br />This revocation must be recorded with the Register of Deeds of the County in which the <br />property is located and it also must be recorded with the Register of Deeds of the <br />County in which the property is located before the death of the signer (s) and also within <br />30 days after it was signed or it will not be effective. This revocation is effective only as <br />to the interests in the property of owners who sign this revocation. <br />Identifying Information <br />Name of Owner Mailing Address of Owner d <br />Carlos Boza Lado 1/3 a aped Lo. PLD YI (L • 93 <br />Notice to Register of Deeds <br />This is a revocation of transfer on Death Deed and Form 521 is not required under Neb. Rev. Stat. <br />76-214 (2). <br />Legal Description <br />Lot Three (3), Lucas' Addition to the City of Grand Island, Hall County, Nebraska. <br />Revocation <br />I (We) revoke all my (our) previous transfers of this property by transfer on death deed. <br />OR <br />I (We) revoke that transfer on death deed dated June 27, 2022 and recorded on <br />June 30, 2022 as Document No. 202204818 in the Office of the Register of Deeds of Hall, <br />County Nebraska which affects the following real estate is revoked by this document. <br />Signature of Owner or Owners Making This Revocation <br />Carlos BozLado <br />(Transferor, <br />