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202003816 <br />Signature of Owner Making This Transfer on Death Deed <br />I, TENG PHOMMARAVONGSA, a single person, the transferor, sign my names to this <br />instrument on ,5L.t hQ S , 2020, and being first duly sworn, do hereby declare to the <br />undersigned au ority that I sign and execute this transfer on death deed to transfer my interest in <br />the described real property and that I sign it willingly or willingly direct another to sign for me, <br />that I execute it as my free and voluntary act for the purposes therein expressed, that I am eighteen <br />years of age or older or am not at this time a minor, and that I am of sound mind and under no <br />constraint or undue influence. <br />�MOrlIM AV O Ni s <br />TENG PHOMMARAVONGSA <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 that this deed is or would be entitled to receive <br />any 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 />We, <br />and 4,) ,4L44k. , the <br />witnesses, sign "our nar'hes to this instrument, being first duly sworn, an 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 voluntary <br />act for the purposes therein expressed, and that each of us, in the presence and hearing of the <br />transferor, hereby signs this deed as witness to the transferor's signing, and that to the best of his <br />or her knowledge the transferor is eighteen years of age or older or is not at this time a minor and <br />the transferor is of sound mind and under no constraint or undue influence. <br />Wit�Na <br />Witness' Name <br />X08 /404c )C;,W/ <br />Witness' Address <br />,ink 0. Lurtis- , JIe.50l1 SrA,mci Ia.,d,,JE /880) <br />Witness' Address <br />Transfer on Death Deed - Page No. 3 <br />