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202505212 NEBRASKA REVOCABLE TRANSFER ON DEATH DEED (Pursuant to Neb. Rev. St. § 76-3409) Owner (Transferor) Making This Deed: Name: Judy O'Sullivan Address: 2520 Stagecoach Rd, Grand Island, Nebraska, 68801 Marital Status: Single (Divorced) Legal description of the property: Lot Twenty -Four (24), Block Three (3), Olde Mill Subdivision, in the City of Grand Island, Hall County, Nebraska Commonly known as: 2520 Stagecoach Rd, Grand Island, Nebraska, 68801. Primary Beneficiary Under This Deed: Name: Brennan O'Sullivan Address: 2520 Stagecoach Rd, Grand Island, Nebraska, 68801 Marital Status: Married The following Alternate Beneficiary is hereby designated: Name: Kelsey O'Sullivan Address: 1088 S Eaton St, Denver, Colorado, 80228 Marital Status: Single (Not Married) I, the Owner (Transferor), sign my name to this instrument this In? day of September, 2025,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 to Beneficiary and that I sign it willingly or willingly direct another to sign for me, that I execute it as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or older or am not at this time a minor, and that I am of sound mind and under no constraint or undue influence. 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 Page 2