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CASH <br />CHECK ;C.X. "o <br />'HST Nib 0 U Ia 14 <br />Return to: <br />Zachary Butz <br />308 N. Locust, Ste. 501 <br />Grand Island, NE 68801 <br />REFUNDS: <br />CASH <br />CHECK <br />RE ;_ t IJE.D <br />HALL U'IN TY NE <br />Nib JI_ 13 A'4l <br />I 'NOW <br />REGISTER ER OF DEEDS <br />Space Above Line Reserved for Recording Purposes <br />REVOCABLE TRANSFER ON DEATH DEED <br />Notice to Owner <br />2304 <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 />MICHAEL J. VOSS <br />Notice to Register of Deeds <br />305 WAINWRIGHT ST. <br />GRAND ISLAND, NE 68801 <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 Eight (8), in Windolph's Subdivision, being a subdivision of Lot Nine (9), in <br />Windolph's Subdivision of a part of the West Half of the Northeast Quarter <br />(W'IANE'/4) and a part of the East Half of the Northwest Quarter (E'/2NW'/4) of <br />Transfer on Death Deed - Page No. 1 <br />