Form No. - Transfer on Death Deed — Page 1 of 2 © 2011-2025 Stevens-Ness Law Pubiishing Co. Portland, OR  www.stevensness.com

LK NO PART OF ANY STEVENS-NESS FORM MAY BE REPRODUC ™

2026-002008

Klamath County, Oregon

After recording, return to (Name and Address): " ”||I I|||II| |||| "Il"“"”ll ||| I|I
D ‘oMol Enans 00353647202600020080020020

S50T Wocvs Reod 03/05/2026 01:20:10 PM Fee: $92.00

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Until requested otherwise, send all tax statements to
(Name agd Address):

TTaso  Wecus... Reoadl
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[SPACE RESERVED FOR RECORDER'S USE]

NOTICE TO OWNER: YOU SHOULD CAREFULLY READ ALL INFORMATION ON THIS FORM. 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. (TYPE OR LEGIBLY PRINT ALL INFORMATION.)

TRANSFER ON DEATH DEED

, owner of the real
property described below, upon my death, do hereby transfer to the beneficiary designated below, all of my right, interest and title in
that certain real property, with ail rights and interests belonging ur relating thereto, sitvated in __ K {aamaThe .
County, State of Oregon, legally described (check one): [ as set forth on the attached Exhibit A, and incorporated by this reference;
0O as follows:

Tushromed AL Moe =096 |
M!C_rofn‘m A/Z? CO!"‘CJS o ‘F Kla,au.;:(,’j\. QOL-' A)lL] . Off“)m

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I designate je,(\{\\g‘?r Lg/n Or‘-"eso\_@ CIMC'J‘ -T—@L&MO\. B.Jf‘hs
whose mailing address, if available, is P @
D500 A ooel 04+ Camacillo CA 930127~ 320 N ew) eastle

as my primary beneficiary* ifthaitiperscw);nigl_x_r\_/i;_e;vr;é."_“ o W"d""”d_"j iiiiiiiii {a W 1:'6:!75 OPQ

as my alternate beneficiary** if that person survives me.

*ORS 93.961(2) requires that the beneficlary or beneficlarles must be specifically identified by name, rather than as part of a class.

**ORS 93.953(2) states that an individual may designate one or more alterate beneficiaries if the primary beneficiary or beneficiaries are not qualified to take the
property at the time of death or do not survive the transferor.

PUBLISHER’S NOTE: ORS chapter 93 provides that Transfer on Death deeds: (a) Transfer only property that the transferor still owns at time of death, and transfer
aqual shares with no right of survivorship when muitiple beneficiaries are named (93.969); (b) Are always revocable (93.955); (c) Must be recorded before death
to be effective (93.961), but do not need to be delivered to designated beneficiaries (93.963); (d) Transfer property without any warranties or covenants of title
and subject to the debts of the decedent as well as any liens, mortgages and/or other interests to which the property is subject at time of death (93.969).

760}

Form No. - Transfer on Death Deed — Page 2 of 2 © 2011-2025 Stevens-Ness Law Publishing Co. Portland, OR _ www.stevensness.com

LK NO PART OF ANY STEVENS-NESS FORM MAY BE AREPRODUCED IN ANY FORM OR BY ANY ELECTRONIC OR MECHANICAL MEANS. @%

e

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

(Optional) SPECIAL TERMS: L

In construing this instrument, the singular includes the plural.

IN WITNESS WHEREOF, the undersigned has executed this instrument on 5 Zozte

ThlS record w. gs acknowledged before me on ___E_Mm__zg_z_(a _____________________ ,
_____ Piva CuansS
Tatne._ L Hotho
OFFICIAL STAMP Notary Public for Oregon
PATRICIA L HORTON My commission expires ___wg,-_\.jw% W __Z_Q-.Z-_&

NOTARY PUBLIC - OREGON
COMMISSION NO. 1044502
MY COMMISSION EXPIRES JANUARY 18, 2028