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EE6509Z0Z <br />CASH <br />CHECK 0 y(40 <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL CC3'_':`TY NE <br />INS 1 ZC2b 0 r 1 3 3 10Zb i 0 rA {j: 01 <br />l lSfi WOW <br />REGISTER OF DEEDS <br />space above this line for recorder's use only <br />This deed was prepared by After recording, please return to <br />Cheryl L Kosmicki Cheryl and Randall Kosmicki <br />3c-PQ <br />Randall P Kosmicki 4223 Manchester Rd <br />Grand Island, NE. 68803 <br />Nebraska Transfer on Death Deed <br />Cheryl L Kosmicki and Randall P Kosmicki <br />(Owner), being of sound mind and legal <br />capacity, hereby convey, effective upon my death, the following described real property located <br />in Nebraska: <br />A complete legal description of the real property being conveyed by this <br />instrument is attached hereto on page 4 as EXHIBIT A. <br />Owner: Cheryl L Kosmicki and Randall P Kosmicki Marital Status: Married <br />Address: V2ai mf1NwHESTE& Rd, a12.iNDIsL )4E 6850? <br />Prior names, if any, used by the Owner: Cheryl L Christensen <br />I designate the following primary beneficiary as grantee: <br />Beneficiary: See Exhibit B attached <br />Address: <br />Marital Status: <br />If the beneficiary does not survive me, I designate the following alternate beneficiary as grantee: <br />Beneficiary: <br />Address: <br />Marital Status: <br />Page 1 of 5 <br />