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STATE OF NEBRASKA, HALL <br />This foregoing instrument was acknowledged before me this <br />200400081 <br />County ss: <br />[date] <br />by JERRY A. SAMPLE, JR., LORI L. SAMPLE <br />[person acknowledging] <br />My Commission expires: 6. / () L <br />6ENE[iPd ? NebraKA SM <br />N[y corn. iv ►� �, 20 <br />REQUEST FOR RECONVEYANCE <br />Notary Public <br />TO TRUSTEE: <br />The undersigned is the holder of the note or notes secured by this Deed of Trust. Said note or notes, together <br />with all other indebtedness secured by this Deed of Trust, have been paid in full. You are hereby directed to cancel <br />said note or notes and this Deed of Trust, which are delivered hereby, and to reconvey, without warranty, all the <br />estate now held by you under this Deed of Trust to the person or persons legally entitled thereto. <br />Date: <br />NEBRASKA - SECOND MORTGAGE - 1/80 DocMagicCYCT= 800- 649 -1362 <br />3828 - AS AMENDED FOR MERS Page 8 of 8 www.docmagic.com <br />