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If Melissa J. Schultz should predecease me her share shall pass to: <br />Kevin A. Schultz 1209 Fox Run Trail, Platte City, MO 75032 <br />Garrett T. Schultz 1209 Fox Run Trail, Platte City, MO 75032 <br />Ryan J. Schultz 1209 Fox Run Trail, Platte City, MO 75032 <br />Transfer on Death: <br />At my death I transfer my interest in the described property to the beneficiaries as designated above. The transfer occurs <br />at my death. <br />Survivorship Required: <br />Under Nebraska Law, the interest of a designated beneficiary is contingent on the designated beneficiary surviving the <br />transferor by one hundred twenty (120) hours. <br />This TOD Deed is Revocable: <br />Before my death, I have the right to revoke this deed. <br />Growing Crops: <br />If this land is agricultural land the growing crops shall pass to: <br />X My primary or alternate beneficiary <br />My estate <br />I understand that if I make no choice growing crops pass to my estate. <br />Legally Required Warning in the TOD Deed: <br />Please pay close attention to the following warnings: <br />Warning: <br />The property transferred remains subject to inheritance taxation in Nebraska to the same extent as <br />if owned by the transferor at death. Failure to timely pay inheritance taxes is subject to interest and <br />penalties as provided by law. <br />Warning: <br />The designated beneficiary is personally liable, to the extent of the value of the property transferred, <br />to account for Medicaid reimbursement to the extent necessary to discharge any such claim <br />remaining after application of the assets of the last surviving transferor's estate. The designated <br />beneficiary may also be personally liable, to the extent of the value of the property transferred, for <br />claims against the estate statutory allowances to the last surviving transferor's surviving spouse and <br />children, and the expenses of administration to the extent needed to pay such amounts by the <br />personal representative. <br />Warning: <br />The Department of Health and Human Services may require revocation of this deed by a transferor, <br />a transferor's spouse, or both a transferor and the transferor's spouse in order to qualify or remain <br />qualified for Medicaid assistance. <br />Signature of Owner Making This Transfer on Death Deed: <br />Barbara L. Eilts, Transferor <br />201705602 <br />I, Barbara L. Eilts, the transferor(s), sign my name to this instrument on August 15, 2017, and being first duly sworn, <br />do hereby declare to the undersigned authority that I sign and execute this transfer on death deed to transfer my interest <br />in the described real property and that I sign it willingly, that I execute it as my free and voluntary act for the purposes <br />therein expressed, that I am eighteen years of age of older or am not at this time a minor, and that I am of sound mind <br />and under no constraint or undue influence. <br />