202605922 - Laserfiche WebLink

Browse

202605922 WARNING: Property insurance on the transferred property may expire thirty days after the death of the transferor. Unless the transferor has added the designated beneficiary as an insured or additional named insured to the property insurance policy of the transferred property, any property insurance coverage of the transferred property will end on the earliest to occur of the following after the transferor's death: The end of the policy period as determined as if the transferor was still living; the date the designated beneficiary obtains alternative coverage; or thirty days after the transferor's death only if any premium required for the additional days beyond the policy period is paid. EXECUTION AND ATTESTATION I, James R. Smith, the transferor, sign my name to this instrument this 12th day of September, 2026, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this transfer on death deed to transfer my interest in the described real property and that I sign it willingly or willingly direct another to sign for me, that I execute it as my free and voluntary act for the purposes therein expressed, that I am eighteen years of age or older or am not at this time a minor, and that I am of sound mind and under no constraint or undue influence. Jame %' Smith, Transferor We, 3q Ma, C. Pet L and (c., ctri G. C:14-&- , the witnesses, sign our names to this instrument, being first duly sworn, and doby declare to the undersigned authority that the transferor signs and executes this transfer on death deed to transfer his interest in the described real property and that he signs it willingly or willingly directs another to sign for him, and that he executes it as his free and voluntary act for the purposes therein expressed, and that each of us, in the presence and hearing of the transferor, hereby signs this deed as witness to the transferor's signing, and that to the best of our knowledge the transferor is eighteen years of age or older or is not at this time a minor and the transferor is of sound mind and under no constraint or undue influence. i . itness 434j' ess 0 STATE OF NEBRASKA ) ss. COUNTY OF HALL Subscribed, sworn to, and acknowledged before me by James R. Smith, the transferor, and su biscribed and sworn to before me by �� and L.4 (Ao61, Q4r4v., , witnesses, this 12th da; of Sep - be , 2026. (SEAL) GENERAL NOTARY • State of Nebraska Jerry D. Clinch -17 My Cam, I,. Exp. March 26, 2027 Jerry D. Clinch Notary Public 2