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!HST 2C25 0 5 ', 3 8 TRANSFER ON DEATH DEED rACH �i-iEC CHEC t9,a 'f.,0 REFUNDS:_ CASH HALL CC.MINTY NE 2015 SEP 2 ci P 3: L i kiiiSTI WOW REGISTER OF DEEDS This Revocable Transfer on Death Deed is made by MATTHEW HEWITT MASCHMANN (the "Transferor") who is the owner of a one-third undivided interest in the following described real estate (the "Property") situated in Hall County, Nebraska, to -wit: N 1/2 SE 1/4 OF SECTION 33, TOWNSHIP 10 NORTH, RANGE 12 WEST OF THE 6TH P.M., HALL COUNTY, NEBRASKA. The Transferor conveys all of the Transferor's one-third undivided interest in the right, title and interest in the Property, effective upon the death of the Transferor, to MATTHEW HEWITT MASCHMANN and DEBRA HUGHES MASCHMANN, Co -Trustees (or their successors) of MASCHMANN REVOCABLE TRUST, u/t/a dated c/ ' 7-2- , 2025, as grantee beneficiary (the "Grantee"). 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. I, MATTHEW HEWITT MASCHMANN, the transferor, sign my name to this instrument on �� 7-2- , 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 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 https://smithandhammond.sharepoint.com/sites/F-Drive/Shared Documents/CLIENTS/M0222/0001/Transfer on Death Deed (HusbSpPtnr) - Nebraska.docx Page 1 4(J°