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CASH <br />CHECK 1O °° <br />N REFUNDS:CASH <br />Ni CHECK <br />rn <br />0 <br />00 <br />03 <br />RECL RDED <br />HALL CC1 NTY NE <br />INS Z 2b 0 0 G 3 ,$ 208 FEB 2 P 2= <br />SO <br />MIST VNOLD <br />REGISTER OF D1E54)0 <br />REVOCATION OF TRANSFER ON DEATH DEED <br />Identifying Information <br />Name of Owner Mailing Address of Owner <br />James H. O'Brien 1614 N. Kruse Ave. <br />Grand Island, NE 68803 <br />Legal Description <br />The North 9 Feet of Lot 3 and the south 46 Feet of Lot 1, Block 22, Scarff's Addition to West <br />Lawn, City of Grand Island, Nebraska. <br />Revocation <br />I revoke all my previous transfers of these properties by transfer on death deed. <br />Signatu e of Owners Making this Revocation <br />Jathes H. O'Brien, Transferor <br />We, t xn Y� Lo% and C rP.n(16 Vap , the witnesses, sign our names to this <br />instrument, being first duly sworn, and do hereby declare to the undersigned authority that the <br />transferors sign and execute this revocation of transfer on death deed to revoke their interest in <br />the described real property and that they sign it willingly or willingly direct another to sign for <br />them, and that they execute it as their free and voluntary act for the purposes therein expressed, <br />and that each of us, in the presence and hearing of the transferor, hereby signs this revocation of <br />transfer on death deed as witness to the transferors' signing, and that to the best of his or her <br />knowledge the transferors are eighteen years of age or older or are not a this time minors and the <br />transferors are of sound mind and under no constraint or undue influence. <br />Witness <br />ODtailitde Op - <br />Witness <br />STATE OF NEBRASKA ) <br />)ss. <br />COUNTY OF HALL ) <br />Subscribed, sworn to, and acknowledged before me by James H. O'Brien, the transferor, <br />and subscribed and sworn to before me by K o %.> and <br />linen Var , witnesses, this day of_ .) y1,,� - , 2026. <br />GENERAL Nebraska <br />LIVINGSTON <br />My Comm. Exp. June 5, 2027 <br />V2i.yt-gbia <br />