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Dated this .......fr. `............ day of ......,�C' ......... .4° ....................... 2W0 <br />On the above date, before me a General Not, ry Public duly commissioned and <br />qualified, personally came ............................................................ ............................... <br />it4,n►ca. ......S . c... ...................... ............................... <br />Q.�°r.......- ........�.le .......................... ............................... <br />206009449 <br />Datedthis ........................... day of ..................................... ............................... 20W <br />On the above date, before me a General Notary Public duly commissioned and <br />qualified, personally came ............................................................ ............................... <br />to me known to be the identical person . whose namar'f... affixed to the foregoing To me known to be the identical person ....... whose name....... affixed to die foregoing <br />instrument a rantor ..,�. d acknowledged the same to be a voluntary act and deed. instrument as grantor ........ and acknowledged the same to be a voluntary act and deed. <br />WI ESS It and Notarial Seal the day and year above written. WITNESS my hand and Notarial Seal the day and year above written. <br />Notar... . ... ........................................................... ............................... Notary ............................................................................................ ............................... <br />yc I mission expires the ............ day of ........... ............................... 2000 My conunission expires the ............ day of ........... ............................... 2000. <br />III GENERAL NOTARY Ste rak <br />GREGG M. SHAyy <br />STATE OF ............. �f .................. Mq Comm. EV. on. 31, 2002 S'1'A'l'E OF ................................... ............................... <br />N SS. SS. <br />............. N . 11........ ............................... COUNTY .................................... ............................... COUNTY <br />MEMORANDA <br />PLEASE PRINT ALL NAMES <br />Exact and full name of OWNER, as same appears of record <br />If married, full name of spouse ........................................................................ ............................... <br />If unmarried, show "single," "widower," "widow" ........................................ _............................. <br />If mortgage or other liens, show names of holden, amounts, dates and book page of record <br />If an estate, give the names of all the heirs, with the share of each. Show names of spouses of those married <br />. . . .. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Name of executor or administrator .................. _ .............................................. _.......................................................... <br />If any of the owners or heirs are minors, give their.names and ages ......................................... ............................... <br />Name of guardian <br />TENANT - Exact and full names. Rent Agreement <br />REMARKS <br />t <br />