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202600095
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Last modified
1/7/2026 3:22:42 PM
Creation date
1/7/2026 3:22:42 PM
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DEEDS
Inst Number
202600095
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2026000aS <br />TRANSFER ON DEATH. At my death, I transfer my interest in the described property to the <br />beneficiaries as designated above. Before my death, I have the right to revoke this deed. <br />NOTICES. <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 <br />discharge any such claim remaining after application of the assets of the transferor's estate. The <br />designated beneficiary may also be personally liable, to the extent of the value of the property <br />transferred, for claims against the estate, statutory allowances to the transferor's surviving <br />spouse and children, and the expenses of administration to the extent needed to pay such <br />amounts by the 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 />SIGNATURES. <br />I, Joseph Michael Chitty , the transferor, sign my name to this instrument this <br />7th day of January , 2026 , and being first duly sworn, do hereby declare to the <br />undersigned authority that I sign and execute this transfer on death deed to transfer my interest <br />in the described real property and that I sign it willingly or willingly direct another to sign for me, <br />that I execute it as my free and voluntary act for the purposes therein expressed, that I am <br />eighteen (18) years of age or older or am not at this time a minor, and that I am of sound mind <br />and under no constraint or undue influence. <br />Transferor Signature: <br />I, n/a , the transferor, sign my name to this instrument this <br />day of , and being first duly sworn, do hereby declare to the <br />undersigned authority that I sign and execute this transfer on death deed to transfer my interest <br />in the described real property and that I sign it willingly or willingly direct another to sign for me, <br />that I execute it as my free and voluntary act for the purposes therein expressed, that I am <br />eighteen (18) years of age or older or am not at this time a minor, and that I am of sound mind <br />and under no constraint or undue influence. <br />Transferor Signature: <br />
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