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C Ar H <br />CHECK 1, 00 <br />N <br />N <br />cri <br />es) <br />N <br />Return to: <br />Ronald S. Depue <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />INS' 7C75 0 b 2 3 b <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL' ,`f NE <br />2025 NOV f2 2: 54 <br />KFiiytI \r'OLD <br />REGISTER OF DEEDS <br />Space Above Line Reserved for Recording Purposes <br />REVOCABLE TRANSFER ON DEATH DEED <br />Notice to Owner <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 />RUTH ANN BATIE 415 CAMPBELL AVE. <br />DONIPHAN, NE 68832 <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 the <br />Primary Beneficiary or to the Alternate Beneficiary as provided below. <br />Lot Three (3) in Amick Acres Second Subdivision, a part of the North Half of the <br />Southwest Quarter (N'/2SW %) and part of the South Half of the Northwest Quarter <br />(S'/2NW'/4) of Section Two (2), Township Nine (9) North, Range Ten (10) West of <br />the 6th P.M., Hall County, Nebraska <br />Transfer on Death Deed - Page No. 1 <br />