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REGISTER OF DEEDS' USE ONLY
FOR NDR USE 4NL
Date Deed Recorded
Mo. Day Yr.
_�
(1)F Improved
(1) [D Single Family
(4) E] Industrial
( D Recreational (a) Mineral Interests- (9) State Assessed " E] Mobile Home
(2)[D Unimproved
?
(2) E] Mufti-Family
(5) E] Agricultural
Producing E
(7) Mineral Interests- (10) Exempt
_
•.
-
(3) Commercial
.. . . ra :-,.
8 Type of Deed
. ..
Ej Warranty
Sheriff
Executor
Mineral Cemetery t
An M MEN
O'buitClaim
Conservator
El Partition
Trust Other am;
10 Type of Transfer
Sate
Auction Gift
Exchange
Foreclosure Satisfaction of Contract Ufe Estate Other (explain)
11 Ownership Transferred in Full (if No, explain division)
-- 1
n2was real estate purchased for same_useT�R MMM u�
YES
N O
N O -
REGISTER OF DEEDS' USE ONLY
FOR NDR USE 4NL
Date Deed Recorded
Mo. Day Yr.
27 Value of Stamp or Exempt Plumber
29 Deed Book
29 Deed Page
Nebraska Department of Revenue Form No. 2- 146.67 Rev. 9.94
Supersedes 2 -146 -67 Rev. 11.92
NEBRASKA DEPARTMENT OF REVENUE —White Copy
Authorized by Sections 76. 214, 77.1327, R.R.S. 1943
COUNTY ASSESSOR — Canary and Pink Copies GRANTEE — Goldenrod Copy