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202200947
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Last modified
2/7/2022 1:05:54 PM
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2/7/2022 1:05:54 PM
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DEEDS
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202200947
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202200947 <br />surviving transferor's surviving spouse and children, and the expenses of administration to <br />the extent needed to 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 to <br />qualify or remain qualified for Medicaid assistance. <br />Signature of Owners Making This Transfer on Death Deed <br />We, Gerald W. Lindell and Pamela J. Lindell, the transferors, sign our names to this instrument <br />on _ �-/ , 2022, and being first duly sworn, do hereby declare to the <br />undersigned authority that we sign and execute this transfer on death deed to transfer our interest <br />in the described real property and that we sign it willingly or that one or both of us willingly direct <br />another to sign for that signer or signers, that we execute it as our free and voluntary act for the <br />purposes therein expressed, that we are eighteen years of age or older or are not at this time a <br />minor, an• that We are of sound mind and under no constraint or undue influence. <br />i <br />Ge ald W. Lin -_ ransferor <br />C c:5,trALY <br />Pamela J. Lindell, , ransferor <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, A./. �. and g4 474( the <br />witnesses, sign /our i.mes'o this instrument, being first duly sworn, ao hereby declare to the <br />undersigned authority that the transferors sign and execute this transfer on death deed to transfer <br />their interest in the described real property and they sign it willingly or either or both of them <br />willingly directs another to sign for either or both of them, and that they execute it as their free and <br />voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing <br />of the transferors, hereby signs this deed as witness to the transferors' signing, and that to the best <br />of his or her knowledge the transferors are eighteen years of age or older or are not at this time <br />minors and the transferors are of sound mind and under no constraint or undue influence. <br />Witness NarYie <br />308 N. Locust, Ste. 501, Grand Island, NE 68801 <br />Witness' Address <br />308 N. Locust, Ste. 501, Grand Island, NE 68801 <br />Witness' Na e Witness' Address <br />Transfer on Death Deed - Page No. 3 <br />
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