Returned at Counter

2026-000619

Klamath County, Oregon

0035199020260000619003

01/21/2026 02:43:12 PM Fee: $97.00

Blank Space Above Line Reserved For Recorder's Use
PREPARED BY: Mary Doody, 403 Pelican Street, Klamath Falls, Oregon 97601.

AFTER RECORDING, RETURN DEED AND MAIL TAX STATEMENTS TO: Mary
Doody, 403 Pelican Street, Klamath Falls, Oregon 97601.

OREGON TRANSFER ON DEATH DEED
(Or. Rev. Stat. §§ 93.948 to 93.979)
NOTICE TO OWNER:

You should carefully read all information provided on the back of the form prescribed under Or.
Rev. Stat. § 93.975. You may want to consult a lawyer before using this form.

This form must be recorded before your death or it will not be effective.
IDENTIFYING INFORMATION

Owner (Transferor) Making This Deed:

L
Name: Mary Doody
Address: 403 Pelican St, Klamath Falls, Oregon, 97601
Marital Status: Single (Divorced)

Legal description of the property:

CODE: 001 PCL: 101 ACRES: 0.22

MAP: 3809-019DC-00300

LEGAL: BUENA VISTA ADDITION (B:27 L:1)

Commonly known as: 403 Pelican St, Klamath Falls, Oregon, 97601.
PRIMARY BENEFICIARY / BENEFICIARIES

R\ L\(\Grcx Do Dd\i

Page 1

Primary Beneficiary Under This Deed:

Name: Richard Doody

Address: 403 Pelican St, Klamath Falls, Oregon, 97601

Marital Status: Single (Divorced)

ALTERNATE BENEFICIARY / BENEFICIARIES (OPTIONAL)
No alternate beneficiaries are designated under this Deed.

TRANSFER ON DEATH

At my death, I transfer my interest in the described property to the Beneficiary as designated
above.

Before my death, I have the right to revoke this Deed.

SIGNATURE OF OWNER OR OWNERS MAKING THIS DEED

Signature:
Print Name: Mary Doo {

Page 2

NOTARY ACKNOWLEDGMENT:

A notai'j} public or other officer completing this certificate verifies only the identity of the |
individual who signed the document to which the certificate is attached, and not the
truthfulness, accuracy, or validity of that document.

State of _Orepon )
) ss.
County of _ Ktomo +h )
On this _ /474 dayof _ Sen-ory ,202¢ , before me,
LHhon Chevre , personally appeared,
7 oY Voo dY 5 WhO

proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the foregoing transfer on death deed instrument, titled

Qvesan Yronsfer on Oearn decd, and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)
on said instrument the person(s), or the entity upon behalf of which the person(s) acted, executed
said instrument.

I certify under PENALTY OF PERJURY under the laws of the State of
Oreson that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

%/"” (SEAL)

Notdfy Signatufe™ 2 OFFICIAL STAMP
& (/e ETHAN SCOTT CHEYNE
1 WAG47:// NOTARY PUBLIC - OREGON
l ;

COMMISSION NO. 1081863

LFthon Sectt  Chevne
| i COMMSSION EXPIRES SEPT.4, 2008

Notary Printed Name

My Commission Expires: _Seef. #44 202§

Page 3