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202 07434 Name Address Timothy McConnell 4561 Charles St. Omaha, Nebraska 68132 Ryann Kluthe 2534 N 138th St. Omaha, Nebraska 68184 If a Designated Beneficiary predeceases the Transferor, is treated under the inheritance laws of the State of Nebraska as having predeceased the Transferor, or is otherwise not legally in existence at the time of the Transferor's death, that Designated Beneficiary's interest will pass to and become part of that Designated Beneficiary's estate. CO -OWNERSHIP If, on the Transferor's death, this Transfer -on -Death Deed transfers the Property to more than one Designated Beneficiary, all Designated Beneficiaries will hold title as tenants in common. TRANSFER ON DEATH At Transferor's death, Transferor transfers Transferor's interest in the described property to the Designated Beneficiaries as designated above. SURVIVORSHIP REQUIRED Under Nebraska law, the interest of a designated beneficiary is contingent on the designated beneficiary surviving the Transferor by one hundred twenty hours. TRANSFER ON DEATH DEED REVOCABLE Before Transferor's death, Transferor has the right to revoke this deed. LEGALLY REQUIRED WARNINGS WARNING: The property transferred remains subject to inheritance taxation in Nebraska to the same extent as if owned by the Transferor at death. Failure to timely pay inheritance taxes is subject to interest and penalties as provided by law. WARNING: The designated beneficiary is personally liable, to the extent of the value of the property transferred, to account for medicaid reimbursement to the extent necessary to discharge any such claim remaining after application of the assets of the Transferor's estate. The designated beneficiary may also be personally liable, to the extent of the value of the property transferred, for claims against the estate, statutory allowances to the Transferor's surviving spouse and children, and the expenses of administration to the extent needed to pay such amounts by the personal representative.