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202401883 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. 2 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. Signature of Owner Making This Transfer on Death Deed: I� Bobby Hugh West, the transferor, sign my name to this instrument on A6/ , 2024, 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 thatnI am of sound mind and under no constraint or undue influence. B • c BY 4 GH WEST, Transferor We,eror LN +l e 2 and .. v,M- Ok--,<.53.kccow the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the Transferor signs and executes this Transfer on Death Deed to transfer their interest in the described real property, and that they sign it willingly and that they execute it as their free and voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing of the Transferors, hereby signs this Deed as witness to the Transferor's signing, and that to the best of our knowledge, the Transferors are eighteen years of age or older and are of sound mind and under no constraint or undue influence.