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201803045
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201803045
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Last modified
5/14/2018 3:46:39 PM
Creation date
5/14/2018 3:46:39 PM
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DEEDS
Inst Number
201803045
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Transfer on Death <br />At my death, I transfer my interest in the described property to the beneficiaries as designated <br />above. The transfer occurs at the death of the Transferor. <br />Survivorship Required <br />Under Nebraska law, the interest of a designated beneficiaries are contingent on the designated <br />beneficiary surviving the Transferor by one hundred twenty hours. <br />This TOD Deed is Revocable <br />Before my death, I have the right to revoke this deed. <br />Legally Required Warnings in the TOD Deed: <br />Please pay close attention to the following warnings. <br />We, <br />Warning: <br />The property transferred remains subject to inheritance taxation in Nebraska to the same <br />extent as if owned by the transferor at death. Failure to timely pay inheritance taxes is <br />subject to interest and penalties as provided by law. <br />Warning: <br />The designated beneficiary is personally liable, to the extent of the value of the property <br />transferred, to account for Medicaid reimbursement to the extent necessary to discharge <br />any such claim remaining after application of the assets of the transferor's estate. The <br />designated beneficiary may also be personally liable, to the extent of the value of the <br />property transferred, for claims against the estate, statutory allowances to the transferor's <br />surviving spouse and children, and the expenses of administration to the extent needed to <br />pay such amounts by the personal representative. <br />Warning: <br />The Department of Health and Human Services may require revocation of this deed by a <br />transferor, a transferor's spouse, or both a transferor and the transferor's spouse in order <br />to qualify or remain qualified for Medicaid assistance. <br />Signature of Owner Making This Transfer on Death Deed <br />I, Garry E. Meyer, the transferor, sign my name to this instrument on 511./AZ © , <br />2018 , and being first duly sworn, do hereby declare to the undersigned authority that I sign and <br />execute this transfer on death deed to transfer my interest in the described real property and that I <br />sign it willingly or willingly direct another to sign for me, that I execute it as my free and <br />voluntary act for the purposes therein expressed, that I am eighteen years of age or older or am <br />not at this time a minor, and that I am of sound mind and under no constraint or undue influence. <br />Mmda S _ f 1 7st <br />Page 2 of 3 <br />201803045 <br />Garry E. 1 eyer <br />Transferor <br />Warning: The two witnesses must be disinterested for this Deed to be valid. An interested <br />witness means any individual who, on the date of this deed, is or would be entitled to receive any <br />interest in the land under this transfer on death deed if the transferor died under the <br />circumstances existing at the date of the signing of this deed, or any child, spouse, or heir of that <br />person. <br />and PEa6Y , the <br />witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the <br />undersigned authority that the transferor signs and executes this transfer on death deed to transfer <br />his or her interest in the described real property and that he or she signs it willingly or willingly <br />directs another to sign for him or her, and that he or she execute it as his or her free and <br />voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing <br />of the transferor, hereby signs this deed as witness to the transferor's signing, and that to the best <br />
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