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CASH CHECK Adp. REFUNDS: CASH CHECK a RECORDED WHALL COUNTY NE rn Retum to Galen E. Stehlik P O Box 400 Grand Island NE 68802 MST 2?5 O I bib 1015AF- ID40 KISTI 'v O LID REGISTER OF DEEDS TRANSFER ON DEATH DEED PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON DEATH ACT /O) We, Daryl D. Beilke Jr. and Susan E. Beilke, husband and wife, Grantors/Transferors, transfer all of our interest in the following described property to Darren D. Beilke and Elizabeth M. Beilke. Said transfer to be effective at the death of the survivor of us. The real estate (as defined in Neb. Rev. Stat. §76-201) in Hall County, Nebraska is described as follows: Lot Four (4) Block Sixteen (16), Schimmer's Addition to the City of Grand Island, Hall County, Nebraska. We may revoke this deed. When recorded this deed revokes any Transfer on Death deed that we made before signing this deed. Executed: March Z 7 , 2025. 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. 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. We, Daryl D. Beilke Jr. d Susan E. Beilke, husband and wife, the transferors, sign our names to this instrument this 02 day of March, 2025, and being first duly sworn, do hereby declare to the undersigned authority that we sign and execute this transfer on death deed to transfer our interest in the described real property and that we sign it willingly or willingly direct another to sign for us, that we execute it as my free and voluntary act for the purposes therein expressed, that we are eighteen years of age or older or am not at this time a minor and that we are of sound mind and under no constraint or under influence.