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2 44307621 TRANSFER ON DEATH DEED evidencing a transfer effective on the grantor's death under the Nebraska Uniform Real Estate Transfer on Death Deed Act Neb. Rev. Stat. sections 76 -3401 through 76 -3423 Jill M Strong, single, as owner, transfers on death of owner to Kay M Strong Prather and Carl Prather, wife and husband, as joint tenants with the right of survivorship and not as tenants in common, as grantee beneficiaries, the property at 1924 West 11th Avenue, Grand Island, Nebrska, legally described as follows: LOT ELEVEN (11), BLOCK FIVE (5), BOGGS AND HILL'S ADDITION to the City of Grand Island, Hall County, Nebraska. THIS TRANSFER ON DEATH DEED IS REVOCABLE. IT DOES NOT TRANSFER ANY OWNERSHIP UNTIL THE DEATH OF THE OWNER. IT REVOKES ALL PRIOR BENEFICIARY DESIGNATIONS BY THE OWNER FOR THIS INTEREST IN REAL ESTATE. Pursuant to the Nebraska Uniform Real Estate Transfer on Death Deed Act, Neb. Rev. Statute sections 76 -3401 through 76 -3423, Warnings: the Transfer on Death Deed is: a. Subject to inheritance taxation b. Designated beneficiary(ies) is person liable for Medicaid reimbursement and for claims against transferor's estate. c. HHS May require revocation to maintain qualification for Medicaid d. Defect in wording of warnings does not invalidate deed e. This transfer on death deed must be recorded with the Register of Deeds before tranferor's death and within 30 days of being executed. I, Jill M Strong the transferor, sign my name to this instrument this / 7 day of September, 2013, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this transfer on death deed to transfer my interest in the described real property and that I sign it willingly or willingly direct another to sign for me, that I execute it as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or older or am not at this time a minor, and that I am of sound mind and under no constraint or undue influence. . 1 4 7 ransferor We, U Atit and 400..S i C , the witnesses, sign our names to this instrument, being first duly sworn, do hereby declare to the undersigned authority that the transferor signs and executes this transfer on death deed to transfer his or her interest in the described real property and that he or she signs it willingly or willingly directs another to sign for him or her, and that he or she executes it as his or her free and voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing of the transferor, hereby signs this deed as witness to the transferor's signing, and that to the best of his or her . owledge the transferor is eighteen years of age or older or is not at this time a minor and the tr feror is of sound mind and under no constraint or undue ' 4 uence. Witness Witness THE STATE OF NEBRASKA COUNTY OF HALL Subscribed, sworn to, and acknowledged before me by the above Transferor, and subscribed and swo to before me . ove witnesses this /7 day of Srp,4Qr , 2013. / (SEAL) NOTARY GENERAL NOTARY - State of Nebraska EDWARD J. JAROSIK My Comm. Exp. Nov. 14, 2015