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2019( 0 425 <br />TRANSFEROR DECLARES that the TRANSFER ON DEATH DEED TRANSFER(S): <br />A. to the DESIGNATED BENEFICIARY shall occur at the death of the <br />TRANSFEROR; and <br />B. shall be subject to the WARNINGS set forth in EXHIBIT "A" <br />attached to this DEED and incorporated herein by reference. <br />On this JANUARY 15, 2019, I the undersigned Transferor sign my <br />name to this instrument; AND being first duly sworn, do hereby <br />declare and acknowledge to the undersigned authority that: <br />A. I sign and execute this instrument as my transfer on death <br />deed to transfer my interest in the described real property; <br />B. I sign this instrument willingly; <br />C. I execute this instrument as my free and voluntary act for the <br />purposes therein expressed; <br />D. I am eighteen years of age or older or am not at this time a <br />minor; <br />E. I am of sound mind; and <br />F. I am under no constraint or undue influence. <br />1,4„) <br />BETTY J. RIEKEN, TRANSFEROR <br />WITNESS ATTESTATION <br />We, 0►111`Itk%a.D4I'iti1YWi1 and ,$EJER .1 <br />the witnesses, each sign our name to this transfer on death deed; <br />AND each being first duly sworn, do each hereby declare and <br />acknowledge to the undersigned authority that: <br />A. the Transferor signs, executes and declares this instrument as <br />Transferor's transfer on death deed to transfer the interest <br />of the Transferor in the described real property; <br />B. the Transferor signs this instrument willingly; <br />C. the Transferor executes this instrument as the free and <br />voluntary act of Transferor for the purposes therein <br />expressed; <br />D. each of us, in the presence and hearing of the Transferor, <br />hereby signs this transfer on death deed as witness to the <br />Transferor's signing; <br />2 <br />