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CASH <br />CHECK Ito o0 <br />REFUNDS: <br />m <br />CASH <br />N� CHECK <br />w 11�-- <br />-A. i AI i_; Fv NF <br />G_ <br />CD <br />Return to: <br />Ronald S. Depue <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />!Nv; ! b. 0 3 14 0 1 n7 <-_i A 8: 3b <br />uiil 1't � 1 r, <br />,-iv: i' .,OLD <br />REGISTER r)E DEEDS <br />1(0°6 <br />Space Above Line Reserved for Recording Purposes <br />REVOCATION OF TRANSFER ON DEATH DEED <br />Notice to Owner <br />This revocation must be recorded with the Register of Deeds of the County in which the property <br />is located, and it also must be recorded with the Register of Deeds of the County in which the <br />property is located before the death of the signer(s) and also within 30 days after it was signed or <br />it will not be effective. <br />Identifying Information about Owner(s) <br />Name of Owner <br />KAREN F. TERRY. <br />f/k/a KAREN F. KEHM <br />2020 N. HUSTON AVE. <br />GRAND ISLAND, NE 68803 <br />Notice to Register of Deeds <br />This is a revocation of a transfer on death deed and Form 521 is not required under Neb. Rev. Stat. <br />§76-214(2). <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 Six (6), Block One (1), in Cunningham Subdivision, an Addition to the City of <br />Grand Island, Hall County, Nebraska <br />Revocation <br />I revoke that transfer on death deed dated April 11, 2022, and recorded on April 11, 2022, as <br />Instrument No. 202202597 at the Office of the Register of Deeds of Hall County, Nebraska. <br />Transfer on Death Deed - Page No. 1 <br />