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t' <br />200407012 <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: Soukup's Heating and Air Conditioning <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 1` 14 �� } ss. <br />(Individual) This instrument was acknowledged before me this day 12th of ,July, 2004 <br />by Thomas R Soukup; Theresa M Soukup Husband and Wife <br />My commission expires: 1 <br />aNwwn"" (N tart' Pubr ► <br />OWMVIL MICKEY <br />Feb. X001 <br />(Business <br />or Entity <br />Acknowledg- <br />ment) <br />STATE OF , COUNTY OF <br />This instrument was acknowledged before me this day of <br />by <br />of <br />a <br />My commission expires: <br />?L;N 0 1993, 2001 Bankers Systems, Inc., St. Cloud, MN Form AGCO- RESI -NE 1/17/2003 <br />} SS. <br />Mtle(s)) <br />(Name of Business or Entity) <br />on behalf of the business or entity. <br />(Notary Public) <br />�y <br />(page 8 of 8) <br />