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STATE OF Nebraska <br />)ss <br />COUNTY OF Buffalo <br />(SEAL) <br />On this 20th day of December, 2012 before me, a Notary Public, personally appeared <br />LeRoy D Miller, A/K/A LeRoy Miller, single <br />to me known to be the person(s) named in and who executed the foregoing instrument, and <br />acknowledged that he executed the same as his voluntary act and deed. <br />,r w C . ELSEY PETERSON <br />My Comm. Exp. Sept 27, 2016 <br />My commission expires <br />INDIVIDUAL BORROWER ACKNOWLEDGMENT <br />20121101 <br />CIA e11. <br />(Type name �lnder signature) <br />Notary Public in and for said County and State <br />App #: 5180508; CIF #: 200387; Note #: 201 220KS Legal Doc. Date: December 20, 2012 <br />FORM 5011, Trust Deed and Assignment of Rents Page 5 <br />