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Transfer on Death At the death of the survivor of us, we transfer our interest in the described property to the beneficiary as designated above. The transfer occurs at the death of the survivor of the Transferors. Survivorship Required Under Nebraska law, the interest of the designated beneficiary is contingent on the designated beneficiary surviving the transferors by one hundred twenty (120) hours. This TOD is Revocable Before our death, we (or the survivor of us) have the right to revoke this deed. Legally Required Warnings in the TOD Deed: Please pay close attention to the following warnings. 2014041 30 WARNING: The property transferred remains subject to inheritance taxation in the Nebraska to the same extent as if owned by the transferor at death. Failure to timely pay inheritance taxes is subject to interest and penalties as provided by law. WARNING: The designated beneficiary is personally liable, to the extent of the value of the property transferred, to the extent of the value of the property transferred, to account for medicaid reimbursement to the extent necessary to discharge any such claim remaining after application of the assets of the transferor's estate. The designated beneficiary may also be personally liable, to the extent of the value of the property transferred, for claims against the estate, statutory allowances to the transferor's surviving spouse and children, and the expenses of administration to the extent needed to pay such amounts by the personal representative. WARNING: The Department of health and Human Services may require revocation of this deed by a transferor, a transferor's spouse, or both a transferor and the transferor's spouse in order to qualify or remain qualified for medical assistance. Signature of Owners Making this Transfer on Death Deed We, Bonita J. Farr (a.k.a Nita J. Farr) and Thomas M. Farr, the transferors, sign our names to this instrument this Itt day of j f a �v , 2014, and being first duly sworn, do hereby declare to the undersigned authority that we sign and execute this transfer on death deed to transfer our interest in the described real property and that we sign it willingly or willingly direct another to sign for us, that we execute it as our free and voluntary act for the purposes therein expressed, that we are eighteen years of age or older or are not at this time a minor, and that we are of sound mind and under no constraint or under influence. Bonita J. Transferor a.k.a Nita J. Farr Thomas M. Farr, Transferor WARNING: The two witnesses must be disinterested for this Deed to be valid. An interested witness means any individual who on the date of this deed is or would be entitled to receive any