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CASH <br />CHEC <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL C UNTY NE <br />INST 7r15 0 b 0 1 0 2015 00 21 aP 2 14 <br />Kui5 t 1 WOLD <br />REGISTER OF DEEDS <br />After Recording, Return to: Supernaw Law Office, P.O. Box 228, Central City, NE 68826 <br />AFFIDAVIT OF DISINTERESTED WITNESSES FOR <br />REVOCABLE TRANSFER ON DEATH DEED <br />(One Owner) <br />STATE OF NEBRASKA ) <br />) S.S. <br />COUNTY OF MERRICK ) <br />The affiants are: <br />Gary Lee O'Neill <br />Karen Sue O'Neill <br />Karol King <br />Makala Reeves <br />(Transferor No. 1) <br />(Transferor No. 2) <br />(Witness No. 1) <br />(Witness No. 2) <br />The affiants together and separately each state the following. <br />1. On the 3rd day of October, 2025, Gary Lee O'Neill and Karen Sue O'Neill as Transferors <br />signed a revocable transfer on death deed concerning the real estate legally described below and <br />the two witnesses signed as witnesses. <br />2. Under §76-3409 a revocable transfer on death deed must be signed by two disinterested <br />witnesses. <br />3. By signing this document the transferors along with the two witnesses each state that <br />each of the two witnesses is a disinterested witness. <br />4. The Legal Description of the real estate affected is: <br />LOT 29, POTASH SUBDIVISION, IN THE CITY OF GRAND ISLAND, HALL <br />COUNTY, NEBRASKA <br />5. The transferors are the current owners of the real estate legally described above. <br />Aa <br />Affidavit of Disinterested Witnesses for Transfer on Death Deed - Page No. 1 <br />