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• �� <br />DEED OF TRUST <br />Loan No: 101257165 (COntlnued) � 012 0� 5 6 i page 10 <br />INDIVIDUAL ACKNOWLEDGMENT <br />STATE OF �' V �� �Q �J {c.(�J1 1 <br />) SS <br />COUNTY OF �� ) <br />On this day before me, the undersigned Notary Public, personally appeared MICHAEL J BERGHOLZ and SHERI L <br />BERGHOLZ, Husband and Wife, to me known to be the individuals described in and who executed the Deed of Trust, <br />and acknowledged that they signed the Deed of Trust as their free and voluntary act and deed, for the uses and <br />purposes therein mentioned. h � � <br />Given under my hand and official seal this f day of �' 4�' , 20 /� . <br />By <br />Printed Name: <br />GENERAI. NOTARY - St2te of Nebraska Notary Public in and for the State of 1�� <br />LINDA M. GLAUSE Residing at <br />My Comm. Exp. Qec. 2, 2014 My commission ex'ires �°a `�� <br />REQUEST FOR FULL RECONVEYANCE <br />(To be used only when obligations have been paid in fulp <br />To: , Trustee <br />The undersigned is the legal owner and holder of all Indebtedness secured by this Deed of Trust. All sums secured by <br />this Deed of Trust have been fully paid and satisfied. You are hereby directed, upon payment to you of any sums owing <br />to you under the terms of this Deed of Trust or pursuant to any applicable statute, to cancel the Note secured by this <br />Deed of Trust (which is delivered to you together with this Deed of Trust►, end to reconvey, without warrenty,'to the <br />parties designated by the terms of this Deed of Trust, the estate now held by you under this Deed of Trust. Please mail <br />the reconveyance and Related Documents to: <br />Date: Beneficiary: <br />By: <br />i�: <br />LASER PRO Lending, Ver. 12.2.0.003 Copr. Harland Financial Solutions, Inc. 1997, 2012. All Rights Reserved. - NE <br />L:\CFI\LPL\G01.FC TR-34377 PR-78 <br />