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CASH CHECKAp •LIJ REFUNDS: CASH CHECK cn RECORDED 2� HALL COUNTY NE w__ __— INST 2025 0 b Li 3 q 1EE5 NOV I 1 P i2: 05 co MIST! WOW REGISTER OF DEEDS Return to /Mary J. Livingston P o Box 1563 Grand Island NE 68802 TRANSFER ON DEATH DEED PURSUANT TO NEBRASKA UNIFORM REAL PROPERTY TRANSFER ON DEATH ACT I, Dixie Scofield, pursuant to authority given by the Power of Attorney of Monte L. Scofield, and Dixie Scofield, husband and wife, Grantors/Transferors, transfer all of our interest in the following described property to Nathaniel I. Scofield. Said transfer to be effective at the death of the last of us. The real estate (as defined in Neb. Rev. Stat. '76-201) in Hall County, Nebraska is described as follows: The Westerly Thirty-three Feet (W 33') of Lot Eight (8), in Block Two (2) in John Voitle's Addition to the City of Grand Island, Hall County, Nebraska. Also known as 822 E. 8' Street, Grand Island, Nebraska. I may revoke this deed. When recorded, this deed revokes any Transfer on Death deed that I made before signing this deed. Executed: November /Q , 2025. 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 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 I-Iuman 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. I, Dixie Scofield, as Power of Attorney for Monte L. Scofield, and Dixie Scofield, husband and wife, the transferors, sign my name to this instrument this ,I dam` day of November, 2025, and being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this transfer on death deed to transfer our 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 under influence. Dixie Scofield, Power of ttorney for Monte L. Scofield, Transferor 0