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Return To: <br />Heritage Bank <br />PO Box 84, 821 2nd Street <br />St. Paul, NE 68873 <br />Notice of Commencement <br />Parcel Identifier Number 400181010 Permit No: <br />Address of Borrow (s): <br />PO BOX 354, 309 W 11th Street, Wood River, NE 68883 <br />4. Borrower(s) Interest in Property: Primary Residence <br />5. Name & Address of Fee Simple Titleholder (if other than Borrower): <br />6. Builder's Name: Clevenger Construction <br />Builder's Address: PO BOX 334, Shelton, NE 68876 <br />Notice of Commencement -NE <br />VMP ® Bankers Systems TM <br />Wolters Kluwer Financial Services ® 2005, 2011 <br />c ;) <br />1— • <br />N.) <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 />1407 Dodd Street Wood River, NE, 68883, Lot Three (3), Block Two (2), West North Lawn Second Addition to the City of Wood River, Hall County, <br />Nebraska <br />VMP13101NEI (110600 <br />Page 1 of 4 <br />f <br />—4 <br />CD <br />2. General Description of Property: Lot Three (3), Block Two (2), West North Lawn Second Addition to the City of Wood River, Hall County, Nebraska <br />3. Name of Borrower(s): <br />Chelsie Doane; Tyler Doane <br />