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Dated this ..................... day . ............................... 20H(t <br />On the above date, before me a General Notary Public duly commissioned and <br />(jualifne personally came ............................................................ ............................... <br />.......... .......on.alb.J.:....V.I�,x. )................................. ............................... <br />To me known to be the identical person ....... whose name....... affixed to the foregoing <br />instrument as grantor ........ and acknowledged the same to be a voluntary act and deed. <br />WITNESS /toy /7hand 7and Nota ial Seal the day and year above written. <br />Notary ..1111 �I �L .11..l / At—.L - r /. �..✓.•`........................................ <br />My commission expires the ./.. ... day of ....1..:!.(.a .................... 20f* <br />Dated this . ............. day of .aa. o ..O.... .1............................... 20 9' <br />On the above date, before me a General Notary Public duly commissioned and <br />qualified, personally came ............................................................ ............................... <br />................ L.►.r.Aa.... - K........V.�.G. �.. 1: �.................. ............................... <br />To me known to be the identical person ....... whose name....... affixed to tine foregoing <br />instrument as grantor ........ and acknowledged die same to be a voluntary act and deed. <br />W ITNES my hand and Notarial Seal, the day and year above written. <br />�, / � <br />) <br />Notary . ... ........h....l '�. <br />// /� /f� �.`..�j <br />My cormrtission expires the. .. day of .......! .."..R.rt.. .y ................... 2(& <br />STATEOF...�..Y.` :bK- a.�t-. ................... n��/ <br />STATE OF ...1...4.1.:1 �.! C.� ..................... <br />/ / SS. SS. <br />.......... ............................1.. ..l1.......... COUNTY 1111 / 1111... /.................. COUNTY <br />III GENERAL NOTARY -State of Nebraska GENERAL NOTARY -State of Nebraska <br />SHELLY R. BULLER �� SHELLY R. BULLER <br />My Comm. Exp. May 15, 2003 My Comm. Exp. May 15, 2003 <br />ORANDA <br />PLEASE PRINT ALL NAMES <br />Exact and full name of OWNER, as same appears of record ..................................................... ............................... <br />.................................................................................................................................................................. ..................... .......... . <br />Ifmarried, full name of spouse ......-----°---.......-°----------° ............................ ...................- --......... ................................................. <br />If unmarried, show "single," "widower," "widow" <br />......................... ... .. ...........°°-------......---.......................---....--°..°-°- <br />If mortgage or other liens, show names of holders, amounts, dates and book page of record .......................... <br />.. . ......_ ..........................•------°......-•--°---°------.....°-----....................-- ---.............. °----- ° ° °•.... ------°--.......... ............................... <br />..................................................................................................................................................................... ............................... <br />If an estate, give the names of all the heirs, with the share of each. Show names of spouses of those married <br />.......... .......... - -- ....................................................._ .......-- --- °-................. 1111................-°----•.... ............................... <br />Name of executor or administrator ...................... • .......... ..... ............................... ........:...... ............................... <br />If any of the owners or heirs are minors, give their names and ages ......................................... ............................... <br />Nameof guardian ............... ............................... ............................. ................................ .......................................... ................ <br />...... • .._ ......:.... ............................... ...................... .--.................................... ..........................--- °- °---.........11...1.1....- ..................... <br />TENANT - Exact and full names. Rent Agreement .................................... ............................... .. ... ............................... <br />REMARKS <br />