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202600528 <br />Warning: <br />Property insurance on the transferred property may expire thirty days after the death of the <br />transferor. Unless the transferor has added the designated beneficiary as an insured or <br />additional named insured to the property insurance policy of the transferred property, any <br />property insurance coverage of the transferred property will end on the earliest to occur of <br />the following after the transferor's death: The end of the policy period as determined as if <br />the transferor was still living; the date the designated beneficiary obtains alternative <br />coverage; or thirty days after the transferor's death only if any premium required for the <br />additional days beyond the policy period is paid. <br />Signature of Owner Making This Transfer on Death Deed <br />I Shirley Mae Anderson, a single person, the transferor, sign my names to this instrument on <br />�, , 2026, and being first duly sworn, do hereby declare to the undersigned <br />`uthori ! hat I sign and execute this transfer on death deed to transfer my interest in the described <br />real property and that I sign it willingly or willingly direct another to sign for me, that I execute it <br />as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or <br />older or am not at this time a minor, and that I am of sound mind and under no constraint or undue <br />influence. <br />Shirley Mae A Berson, Transferor <br />Warning: The two witnesses must be disinterested for this Deed to be valid. An interested <br />witness means any individual who on the date that this deed is or would be entitled to receive <br />any interest in the land under this transfer on death deed if the transferor died under the <br />circumstances existing at the date of the signing of this deed or any child, spouse or heir of that <br />person. <br />We, fiort t SJ-i o l/ and 6 ? / a/� /7 <br />the witnesses,sign our names to this instrument, beingfirst dulysworn, add do herebydeclare to <br />the undersigned authority that the transferor signs and executes this transfer on death deed to <br />transfer his or her interest in the described real property and that he or she signs it willingly or <br />willingly directs another to sign for him or her, and that he or she execute it as his or her free and <br />voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing <br />of the transferor, hereby signs this deed as witness to the transferor's signing, and that to the best <br />of his or her knowledge the transferor is eighteen years of age or older or is not at this time a minor <br />and the transferor is of sound mind and under no constraint or undue influence. <br />308 N. Locust, Ste. 501, Grand Island, NE 68801 <br />Wit ss' Name Witness' Address <br />Transfer on Death Deed - Page No. 3 <br />