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200401'765 <br />DESIGNATION OF HOMESTEAD <br />Pursuant to the Farm Homestead Protection Act, designation of homestead ❑ is attached to this Deed of Trust and <br />made a part hereof ❑ has been disclaimed; the disclaimer is attached to this Deed of Trust and made a part hereof. <br />SIGNATURES: By signing below, Trustor agrees to the terms and covenants contained in this Deed of Trust and in any <br />attachments. Trustor also acknowledges receipt of a copy of this Deed of Trust on the date stated above on Page 1. <br />❑ Actual authority was granted to the parties signing below by resolution signed and dated <br />Entity Name: Jacobsen Enterprises Incorporated <br />3 <br />(Sign6tureT Gerald R. Jacobs V, President (Date) t Ga aco sen, Secretary (Date) <br />(Signature) (Date) (Signature) (Date) <br />❑ Refer to the Addendum which is attached and incorporated herein for additional Trustors, signatures and <br />acknowledgments. <br />ACKNOWLEDGMENT: <br />STATE OF , COUNTY OF } ss. <br />(Individual) This instrument was acknowledged before me this day of <br />by Gerald R Jacobsen, R. Jacobsen A Nebraska Corporation <br />My commission expires: <br />(Notary Public) <br />STATE OF NE COUNTY OF�C/�U } ss. <br />This instrument was acknowledged before me this day 15th of December, 2003 <br />by Gerald R Jacobsen President; Gary R. Jacobsen Secretary <br />(Business <br />(Title(s)) <br />or Entity <br />Acknowledg- of Jacobsen Enterprises Incorporated (Name of Business or Entity) <br />ment) a Nebraska Corporation on behalf of the business or entity. <br />My commission expire el►7k,- <br />to <br />VL <br />` "'•: �i'�yi�� c�• (Notary Public) <br />r GEN ERA <br />'•• <br />NOTARY a <br />My COMMISSION EXPIRES <br />November 25, 2006 <br />E-�� ©1993, 2001 Bankers Systems, Inc., St. Cloud, MN Form AGCO - RESI -NE 1/17/2003 (page 8 of 8/ <br />