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202405834 <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, CARL L. WOODS AND GAYLE L. WOODS, the transferors, sign our names to this <br />instrument on Jb /eif, bAr I`1 , 2024, 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 in <br />the described real property and that we sign it willing 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 minor, <br />and that we are of sound mind and under no constraint or undue influence. <br />CARL L. WOODS, Transferor <br />GAYLE WOODS, Transferor <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 />witn s, sign our names to this instrument, being first duly sworn, and do hereby declare to the <br />and gned 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 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 of <br />the transferors, hereby signs this deed as witness to the transferors' signing, and that to the best of <br />his or her knowledge the transferors are eighteen years of age or older or are not at this time minors <br />and the transferors are of sound mind and under no constraint or undue influence. <br />and (>a / ,/hr ,�` , the <br />Page 3 of 4 <br />