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CASH <br />CHICK � <br />REFUNDS: <br />CASH <br />CHECK <br />HALL C ;'JNTY NE <br />INST ?nth 0 b 2 9 b 201h OC r- I R: 22 <br />K iSIi 'NOW <br />REGISTER OF DEEDS <br />Prepared By: <br />Space above this line for recorder's use only <br />After Recording Return To: <br />NEBRASKA TRANSFER ON DEATH DEED <br />TRANSFEROR INFORMATIO . <br />Transferor Full Name: o�i e, , w t' S On Marital Status: /1104 r i eS <br />Address: 3 o\C {.� o�,,.k S 3 <br />Transferor Full Name: <br />Address: 3 c <br />qe` ck 1M . w jISev, Marital Status: /hotYr; ed <br />o l cab �►, . St <br />Legal Description of Property: <br />LerroNECi) 13Lac.IC5Ecomo AiAio2T.IoNToHoLCof )SNIG)fc1RV <br />NoM Es Su 8101vlszo 6'FA PA1(y of?NEN6triaAs1" QuAgr 1P of -NE No6'0101.57 <br />GUAt'7 (/, )i4NE�j ) 5ECT1oN-TWEA/TY Esaaffca rtawmstlpcievE c)) <br />OVote-TY if4NGF(9V, INg i cF TX/'6tN ro./vh- #ALL caq.fi1YNE Asks) . <br />'WRITE LEGAL DESCRIPTION HERE OR ATTACH EXHIBIT A] <br />BENEFICIARY. I designate the following beneficiary if the beneficiary survives me. <br />Full Name: <br />Address: N <br />Q. Marital Status: <br />U2. (;--rdt,. <br />/V F (0 Ves <br />ALTERNATE BENEFICIARY (OPTIONAL). If my primary beneficiary does not survive me, I <br />designate the following alternate beneficiary if that beneficiary survives me. <br />Fult Name: K•1`Qo /" t . )=2v�STe Y Marital Status: S i v%U (e <br />Address: a1\ N b Let f i t Hp Ave. Gra <br />as <br />