Laserfiche WebLink
202503886 <br />WARNING <br />The Department of Health and Human Services may require revocation of this Deed by the <br />Transferor, or the Transferor's spouse, if any, or both the Transferor and the Transferor's spouse, if <br />any, in order to qualify or remain qualified for Medicaid assistance. <br />I, Shirley Greenwalt, Transferor, sign my name to this instrument this �day of t& &S , 2O25, <br />and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this <br />Transfer on Death Deed to transfer my interest in the above -described real property and that I sign it <br />willingly or willingly direct another to sign for me, that I execute it as my free and voluntary act for <br />the purposes therein expressed, that I am eighteen years of age or older or am not at this time a <br />minor, and that I am of sound mind and under no constraint or undue influence. <br />sr <br />Shir nw ttagarot-X <br />We, Ai�(�{ �� ✓1 and Nlr�d sae ¶V r , the witnesses, sign our <br />names to this instrument, add beingfirst dulysworn,do herebydeclare to the undersigned authority <br />� <br />that the Transferor signs and executes this Transfer on Death Deed to transfer her interest in the <br />above -described real property and that she signs it willingly or willingly directs another to sign for <br />her, and that she executes it as her free and voluntary act for the purposes therein expressed, and that <br />each of us, in the presence and hearing of the Transferor, hereby signs this Deed as witness to the <br />Transferor's signing, and that to the best of our knowledge the Transferor is eighteen years of age or <br />older or is not at this time a minor and the Transferor is of sound mind and under no constraint or <br />undue influence. <br />STATE OF NEBRASKA <br />) ss. <br />COUNTY OF.A...1 <br />Subscribed, sworn to, and acknowledged before me by Shirley Greenwalt, the Transferor, and <br />subscribed and sworn to before me by A ly SS4. and <br />ACE : b a-,r\ r,"'� <br />,the witnesses, this A day of JleRe._ , 2025. <br />\€ a aJ.---- <br />Notary Public <br />Seal: <br />2 <br />GENERAL NOTARY - State of Nebraska <br />ECHO A. ALCORN <br />My Comm. Exp. March 21, 2026 <br />