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CASH <br />CHECK /4:7 ' " <br />IN ; 2Q25 0 1 1 5 <br />Return to <br />Mary J. Livingston <br />P 0 Box 1563 <br />Grand Island NE 68802 <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL COUNTY NE <br />2015 DEC ! 8 P 2: 10 <br />{IRISil WOLD <br />REGISTER OF DEEDS <br />CORRECTED TRANSFER ON DEATH DEED <br />PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON <br />DEATH ACT <br />I, Dixie Scofield, pursuant to authority given by the Power of Attorney of Monte L. <br />Scofield, and Dixie Scofield, husband and wife, Grantors/Transferors, transfer all of our interest <br />in the following described property to Nathaniel I. Scofield. Said transfer to be effective at the <br />death of the last of us. The real estate (as defined in Neb. Rev. Stat. '76-201) in Hall County, <br />Nebraska is described as follows: <br />The Easterly Thirty-three Feet (E 33') of Lot Eight (8), in Block Two (2) in John Voitle's <br />Addition to the City of Grand Island, Hall County, Nebraska. <br />Also known as 822 E. 8t" Street, Grand Island, Nebraska. <br />I may revoke this deed. When recorded, this deed revokes any Transfer on Death deed <br />that I made before signing this deed. <br />Executed: December lc- , 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 />I, Dixie Scofield, as Power of Attorney for Monte L. Scofield, and Dixie Scofield, <br />husband and wife, the transferors, sign my name to this instrument this ISr% day of <br />December, 2025, and being first duly sworn, do hereby declare to the undersigned authority that <br />I sign and execute this transfer on death deed to transfer our interest in the described real <br />property and that I sign it willingly or willingly direct another to sign for me, that I execute it as <br />my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or <br />older or am not at this time a minor and that I am of mind and under no constraint or <br />under influence. <br />Dixie cofield, Power'% of Attorney for <br />Monte L. Scofield, Transferor <br />