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W m rn Steffens Law Office, PC P.O. Box 363 Broken Bow, NE 68822 MST 1C23 0 1 0 b CASH CHECK R_FUNDS:_ CASH CHECK 1013 REVOCABLE TRANSFER ON DEATH DEED KNOW ALL MEN BY THESE PRESENTS, That Logan T. Shunkwiler-Adams, a single person, herein called the Transferor whether one or more, transfers, effective on his death, to Beneficiary Justin Shunkwiler, a married person, the following described real property in Hall County, Nebraska Lot Nine (9), Block Sixteen (16), in Packer and Barr's Addition to the City of Grand Island, Hall County, Nebraska. 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 last surviving 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 last -surviving transferor's surviving spouse and children, and the expenses of administration to the extent needed to pay such amounts by the personal representative. WARNING: The Department of Health and Human Services may require revocation of this deed by a transferor, a transferor's spouse, or both a transferor and the transferor's spouse in order to qualify or remain qualified for Medicaid assistance. I, Logan T. Shunkwiler-Adams, the transferor, sign my name to this instrument on J tAlve 13 , 2023, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this transfer on death deed to transfer my interest in the described real property and that I sign it willingly, that I execute it as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or older, and that I am of sound mind and under no constraint or undue influence.