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Return To: <br />BANK OF DONIPHAN <br />P 0 BOX 270 <br />DONIPHAN, NE 68832.0270 <br />Parcel Identifier Number 400149956 <br />Address of Borrower(s): <br />3806 MEADOWLARK CIRCLE, GRAND ISLAND, NE 68803 <br />Notice of Commencement -NE <br />VMP ® Bankers Systems "+ <br />Wolters Kluwer Financial Services ®2005, 2011 <br />Notice of Commencement <br />4. Borrower(s) Intereat in Property: <br />5. Name & Address sf Fee Simple Titleholder (if other than Borrower): <br />6. 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 />1917 SUMMERFIELD AVE, (RAND ISLAND, NE, 68803 <br />LOT FIVE (5), BLOCK THREW (3), SUMMERFIELD ESTATES EIGHTH SUBDIVISION, IN THE CITY OF GRAND I LAND, HALL COUNTY, NEBRASKA <br />VMP1310(NE) (1106).00 <br />Page 1 of 4 <br />2. General Description of Property: LOT FIVE (5), BLOCK THREE (3), SUMMERFIELD ESTATES IGHTH SUBDIVISION, IN THE CITY OF GRAND ISLAND, Hl <br />3. Name of Borrowe <br />MARK R. HOOS; MICHELL L. HOOS <br />