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202604851
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Last modified
7/29/2026 9:11:13 AM
Creation date
7/29/2026 9:10:43 AM
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DEEDS
Inst Number
202604851
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CASH °° <br />CHECK <br />REFUNDS: <br />CASH <br />iv CHECK <br />a <br />�CTI � HALL CO:. !NTY NE <br />INST 702b 0 Li 8 5 I 101b JUL 2'1 A 8: 42 <br />'eO1_D <br />REGISTER OF DEEDS <br />ir Record and Return to: Robert L. Lathen, 2024 N. Howard Ave., Grand Island, NE 68803 <br />REVOCABLE TRANSFER ON DEATH DEED <br />NOTICE TO GRANTOR <br />This form must be recordedwith the Register ofDeeds ofthe County in which the property is locatedbefom <br />your death, and it also must be recorded with the Register of Deeds of the County in which the property is <br />located within 30 days after it was signed. If either of these requirements is not met, this form will not be <br />effective. <br />IDENTIFYING INFORMATION ABOUT OWNER <br />Grantor making this deed: <br />Robert L. Lathen, a single person <br />2024 North Howard Avenue <br />Grand Island, NE 68803 <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 Death deed <br />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 Primary <br />Beneficiary or to the Alternate Beneficiary as provided below. <br />Lot Five (5), Block Eighteen (18), University Place, an addition to the City of Grand Island, <br />Hall County, Nebraska <br />PRIMARY BENEFICIARY <br />Grantor designates the following Primary Beneficiary of this revocable transfer on death deed: <br />Page 1 of 3 <br />
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