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� ;� <br />�� � �* <br />201200503 <br />DESIaNATION OF HOMESTEAD <br />Pursuant to the Farm Homestead Protection Act, designation of homestead ❑ is attached to this Deed of <br />Trust and made a part hereof ❑ has been disclaimed; the disclaimer is attached to this Deed of Trust and <br />made a part hereof. <br />SIGNATURES: By signing below, Trustor agrees to the terms and covenants contained in this Deed of Trust and <br />in any attachments. Trustor also acknowledges receipt of a copy of this Deed of Trust on the date stated <br />above on Page 1. <br />❑ Actual authority was granted to the parties signing below by resolution signed and dated <br />Entity Name: .IRK Inuactmants� I I � <br />� �` <br />IsiAnaturelR B�UCB KOefOOt Jr. M .D., � IDatel (Signeturel <br />IDate1 <br />�Signature) (Date) (Signeture) (Date1 <br />ACKNOWLEDQMENT: <br />STATE OF , COUNTY OF } ss. <br />(Indivlduaq This instrument was acknowledged before me this day of <br />by <br />My commission expires: <br />(Notary Public) <br />STATE OF 111F , COUNTY OF ��I/ } ss. <br />ts„e;�� This instrument was acknowledged before me this day 13th of .lanuar� 2012 <br />°� EM� by R Bruce Koefoot Jr M D•,, anager <br />Acknowledg- <br />mentl ITitlelsll <br />Of (Name of Business or Entity) <br />a '' '" ehalf of the business or entity. <br />My commission expires: <br />ie,, /._. i.._ <br />6�RALAiOTARY-�ate of Nebrdska <br />(�IARLES CR�IG MOYER <br />�Ily Cormn. E�. IVmr.20, 20I4 <br />Securlty Ir�strumerrt-Commercial/AAriculturel-NE AGCO-RESI-NE 7/1/2011 <br />VMP� Bankers Syetems7an VMP-C696(NE) (11071.00 <br />Woltere Kluwer Flnancial Servicea OO 1993, 2011 Page 10 of 10 <br />