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CASH <br />CHECK /(o IZ) <br />Return to <br />Galen E. Stehlik <br />P 0 Box 400 <br />Grand Island NE 68802 <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL COUNTY NE <br />IN T 1?75 0 5 3 9 1015 SEP 2ci P 3: 44 <br />KRISTI WOLD <br />REGISTER OF DEEDS <br />TRANSFER ON DEATH DEED <br />PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON <br />DEATH ACT <br />We, Troy D. Spencer and Pamela S. Spencer, husband and wife, Grantors/Transferors, <br />transfer all of our interest in the following described property to Ryan M. Spencer and Andrew J. <br />Spencer. Said transfer to be effective at the death of the survivor of us. The real estate (as <br />defined in Neb. Rev. Stat. '76-201) in Hall County, Nebraska is described as follows: <br />Lot Five (5), Block One (1), Summerfield Estates Eighth Subdivision to the City of <br />Grand Island, Hall County, Nebraska. <br />We may revoke this deed. When recorded this deed revokes any Transfer on Death deed <br />that we made before signing this deed. <br />Executed: September 22 , 2025. <br />WARNING: The property transferred remains subject to inheritance taxation in Nebraska to the <br />same extent as if owned by the transferor at death. Failure to timely pay inheritance taxes is <br />subject to interest and penalties as provided by law. <br />WARNING: The designated beneficiary is personally liable, to the extent of the value of the <br />property transferred, to account for medicaid reimbursement to the extent necessary to discharge <br />any such claim remaining after application of the assets of the transferor's estate. The designated <br />beneficiary may also be personally liable, to the extent of the value of the property transferred, <br />for claims against the estate, statutory allowances to the transferor's surviving spouse and <br />children, and the expenses of administration to the extent needed to pay such amounts by the <br />personal representative. <br />WARNING: The Department of Health and Human Services may require revocation of this deed <br />by a 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 />We, Troy D. Spencer and Pamela S. Spencer, husband and wife, the transferors, sign our <br />names to this instrument this 22- day of September, 2025, and being first duly sworn, do <br />hereby declare to the undersigned authority that we sign and execute this transfer on death deed <br />to transfer our interest in the described real property and that we sign it willingly or willingly <br />direct another to sign for us, that we execute it as our free and voluntary act for the purposes <br />therein expressed, that we are eighteen years of age or older or not at this time a minor and that <br />we are of sound mind and under no constraint or under influence. <br />Tr s % ) , S s" cer, ransferor <br />Pamela S. Spen %er, Transferor <br />