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202604204 for Medicaid reimbursement to the extent necessary to discharge any such claim remaining after application of the assets of the last surviving 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. Signature of Owner Making this Transfer on Death Deed We, Julie D. Johnson and Timothy B. Johnson, her husband, he transferors, sign our names to this instrument on June ? 2026, and being first duly sworn, do hereby declare to the undersigned authority that we sign and execute this transfer on death deed to transfer our interest in the described real property and that we sign it willingly, that we execute it as our free and voluntary act for the purposes therein expressed, that we are eighteen years of age or older, and that we are of sound mind and under no constraint or undue influence. Warning: The two witnesses must be disinterested for this Deed to be valid. An interested witness means any individual who on the date that this deed is executed is or would be entitled to receive any interest in the land if the transferor died under the circumstances existing at the date of the signing of this deed. We, Carol Purintun and Rachel Schmidt, the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to the undersigned authority that the transferors sign and execute this transfer on death deed to transfer their interest in the described real property and that they sign it willingly, and that they execute it as their free and voluntary act for the purposes therein expressed, and that each of us, in the present and hearing of the transferors, hereby signs this deed as witness to the transferors' signing, and that to the best of his or her knowledge the transferors are eighteen years of age or older and the transferors are of sound mind and under no constraint or undue influence.