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202303353 <br />Signature of Owner Making This Transfer on Death Deed <br />I, JiCK W. RYSAVY, a single person, the transferor, sign my name to this instrument on <br />j L 3 , 2023, and being first duly sworn, do hereby declare to the undersigned <br />authority that I sign and execute this transfer on death deed to transfer my interest in the described <br />real property and that I sign it willing or willingly direct another to sign for me, that I execute it as <br />my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or older <br />or am not at this time a minor, and that I am of sound mind and under no constraint or undue <br />influence. <br />ACK W. RYSAVY " ransf <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 />,11)f1 t) mf a and S k0OYe- <br />, the <br />witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the <br />undersigned authority that the transferors sign and execute this transfer on death deed to transfer their <br />interest in the described real property and that they sign it willingly or willingly direct another to sign <br />for them, and that they execute it as their free and voluntary act for the purposes therein expressed <br />and that each of us, in the presence and hearing of the transferors, hereby signs this deed as witness <br />to the transferors' signing, and that to the best of his or her knowledge the transferors are eighteen <br />years of age or older or are not at this time minors and the transferors are of sound mind and under <br />no constraint or undue influence. <br />_sgJak,ovy, 'Thdoov_ <br />Witness' Name: <br />363 N L CUSV Sd6t( t 1 N <br />Witness's Address <br />30$ N Locus} Sk 9)) <br />Grand 1St eine, tie.. <br />Witness' Address <br />Page 3 of 4 <br />