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Return To: <br />BANK OF DONIPHAN <br />P O BOX 270 <br />DONIPHAN, NE 68832-0270 <br />Parcel Identifier Number 400234548 <br />2. General Description of Property: <br />3. Name of Borrower(s): <br />PERRY ROBERTS; LISA ROBERTS <br />Address of Borrower(s): <br />509 WEST ST., REINBECK, IA 50669 <br />Notice of Commencement-NE <br />VMP ®. Bankers Systems TM <br />Wolters Kluwer Financial Services 2005, 2011 <br />Notice of Commencement <br />4. Borrower(s) Interest in Property: <br />5. Name & Address of Fee Simple Titleholder (if other than Borrower): <br />Builder's Name: <br />Builder's Address: <br />Permit No: <br />The undersigned, after being first duly sworn, states as follows and verifies that the information set forth in this <br />Notice of Commencement is true to the best of the undersigned's knowledge, information and belief: <br />1. Description of Property (legal and street address): <br />217 APRICOT LN, DONIPHAN, NE, 68832 LOT NINETEEN (19), LEISURE VALLEY LAKE SUBDIVISION, HALL COUNTY, NEBRASKA <br />VMP1310(NE) (1106).00 <br />Page 1 of 4 <br />h) <br />CD <br />fTt <br />---1 <br />rn <br />m <br />C!) <br />--1 <br />m <br />--1 <br />0 <br />