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202506009 Primary Beneficiary I designate the following beneficiary of this revocable transfer on death deed if the beneficiary survives me. Name of Primary Beneficiary Mailing Address of Primary Beneficiary Jennifer L. Loges, daughter 9457 Murphy Lane, Blair, NE 68008 Alternate Beneficiary If my primary beneficiary does not survive me, I designate the following alternate beneficiary if that alternate beneficiary survives me. Name of Alternate Beneficiary Duncan F. Loges, grandson Jesse E. Loges, grandson Hudson L. Loges, grandson Mailing Address of Alternate Beneficiary 9457 Murphy Lane, Blair, NE 68008 1243 Nebraska Street, Blair, NE 68008 9457 Murphy Lane, Blair, NE 68008 Transfer on Death At my death, I transfer my interest in the described property to the beneficiaries as designated above. The transfer occurs at the death of the Transferor. Survivorship Required Under Nebraska law, the interest of a designated beneficiary is contingent on the designated beneficiary surviving the transferor by one hundred twenty hours. This TOD Deed is Revocable Before my death, I have the right to revoke this deed. Growing Crops If this land is agricultural land the growing crops shall pass to: My primary or alternate beneficiary My estate I understand that if I make no choice growing crops pass to my estate. Legally Required Warnings in the TOD Deed: Please pay close attention to the following warnings. 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 Transfer on Death Deed - Page No. 2