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Return To: <br />Heritage Bank <br />PO Box 5138 1333 N Webb Road <br />Grand Island, NE 68802 <br />Parcel Identifier Number 400204010 <br />Address of Borrower(s): <br />4209 New York Ave, Grand Island, NE 68803 <br />Notice of Commencement -NE <br />VMP ® Bankers Systems TM <br />Wolters Kluwer Financial Services ® 2005, 2011 <br />Notice of Commencement <br />Permit No: <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: <br />Builder's Address: <br />2. General Description of Property: Parcel 1: Lot Seventeen (171, Ed Ross Subdivision #2, Hall County, Nebraska. <br />3. Name of Borrower(s): <br />Richard L. Dubbs; Kristi L Dubbs <br />T1 <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 />4185 Airport Road Grand Island, NE, 68803 <br />Parcel 1: Lot Seventeen (171, Ed Ross Subdivision #2, Hall County, Nebraska. <br />V M P 13101 N E 1 111081.00 <br />Page 1 of 4 <br />oa <br />