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200404196
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200404196
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Last modified
10/16/2011 3:28:07 PM
Creation date
10/21/2005 12:59:40 AM
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DEEDS
Inst Number
200404196
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200404196 <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: <br />w i <br />(Sign ture) THEODORE C: BERG (Date) ( ignat e) JULIE L. BERGGRM (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 NE COUNTY OF HALL } ss. <br />(Individual) This instrument was acknowledged before me this day 2ND of APRIL, 2004 <br />by THEODORE C. BERGGREN• JULIE L. BERGGREN HUSBAND AND WIFE <br />My commission expires: 01 -09 -2007 <br />(Business <br />or Entity <br />Acknowledg- <br />ment) <br />GENEBAI. NOTARY - State of Nebraska <br />JON A HEATH <br />My Cohn. Ev. Jan. 9, 2007 <br />STATE OF , COUNTY OF <br />This instrument was acknowledged before me this day <br />by <br />of <br />a <br />My commission expires: <br />E5<p—_e_"m ©1993, 2001 Bankers Systems, Inc., St. Cloud, MN Form AGCO - RESI -NE 1/17/2003 <br />HEATH <br />of <br />Public) <br />} ss. <br />(Title(s)) <br />(Name of Business or Entity) <br />on behalf of the business or entity. <br />(Notary Public) <br />(page 8 of 8) <br />
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