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Loan No: 101298250 <br />Trustor. The word " Trustor" means GRAND ISLAND MENTAL HEALTH AND MEDICAL CLINIC LLC. <br />TRUSTOR ACKNOWLEDGES HAVING READ ALL THE PROVISIONS OF THIS DEED OF TRUST, AND TRUSTOR <br />AGREES TO ITS TERMS. <br />TRUSTOR: <br />Date: <br />DEBRA K ERICKSON, Member of G ■ AL HEALTH <br />AND MEDICAL CLINIC LLC <br />STATE OF <br />COUNTY OF 14^11 <br />LIMITED LIABILITY COMPANY ACKNOWLEDGMENT <br />I SS <br />) <br />201608780 <br />DEED OF TRUST <br />(Continued) Page 11 <br />On this 2 7 day of �L� tibe 20 /4- before me, the undersigned <br />Notary Public, personally appeared DEBRA K ERICKSON, Member of GRAND ISLAND MENTAL HEALTH AND MEDICAL <br />CLINIC LLC, and known to me to be member or designated agent of the limited liability company that executed the <br />Deed of Trust and acknowledged the Deed of Trust to be the free and voluntary act and deed of the limited liability <br />company, by authority of statute, its articles of organization or its operating agreement, for the uses and purposes <br />therein mentioned, and on oath stated that he or she is authorized to execute this Deed of Trust and in fact executed <br />the Deed of Trust on behalf of the limited liability company. <br />GENERAL NOTARY • State of Nebraska <br />KEITH MINGUS <br />My Comm. Exp. June 24, 2020 <br />By <br />Prin : d N <br />Notary Public in and for the State of <br />Residing at ,Ztsc> v Ci t 4k, <br />My commission expires <br />REQUEST FOR FULL RECONVEYANCE <br />(To be used only when obligations have been paid in full) <br />To: , Trustee <br />The undersigned is the legal owner and holder of all Indebtedness secured by this Deed of Trust. All sums secured by <br />this Deed of Trust have been fully paid and satisfied. You are hereby directed, upon payment to you of any sums owing <br />to you under the terms of this Deed of Trust or pursuant to any applicable statute, to cancel the Note secured by this <br />Deed of Trust (which is delivered to you together with this Deed of Trust), and to reconvey, without warranty, to the <br />parties designated by the terms of this Deed of Trust, the estate now held by you under this Deed of Trust. Please mail <br />the reconveyance and Related Documents to: <br />Beneficiary: <br />By: <br />Its: <br />LaserPro, Ver. 16.4.0.017 Copr. D +H USA Corporation 1997, 2016. All Rights Reserved. - NE L: \CFI \LPL \G01.FC <br />TR -47467 PR -13 <br />