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Datedthis ........� ........... day of ...... ......................... ............... 200 <br />On the above date, before the a General Notary Public duly co missioned and <br />qualified. personally came ........... ............................... ............................... <br />...................... .. `!1%- d............................ <br />....... ................. ...........� ......................... ............................... <br />.......................................................................................................... ............................... <br />To me known to be the isiCnticat person ....... hose name.�wT. affixed to the foregoing <br />instrument as grantor ....�... and acknowledged die same to be a voluntary act and deed. <br />WITN my hand and Notarial Seal We day and year above wrilen. <br />Notary...... .... ... ... :. ............................... <br />My conu»ission expires the ..q.... day of .fit... ... . ., 2041 <br />200202114 <br />Datedthis ........................... day of ..................................... ............................... 2(X1) <br />On the above date, before me a General Notary Public duly commissioned and <br />qualified, personally came ............................................................ ............................... <br />To the known to be die identical person ....... whose name....... affixed to the foregoing <br />[ttstrumeat at gtatttor ........ and acknowledged dte same to be a voluntary act and deed. <br />WMESS my hand and Notarial Sea[ the day and year above written. <br />Notary...... ............................... . ............................................. ............................... <br />My conut ission expires the ............ day of ........... ............................... 2,000 <br />STATEOF ......... 41,........... STATE OF ................................... ............................... <br />SS. SS. <br />COUNTY.................................... ................................ COUNTY <br />GENERAL NOTARY -State of Nebmskl <br />e& I DOLORES VIGLICKY EMORANDA <br />My Comm. Bq July 4, 2002 <br />PLEASE PRINLALL NAMES <br />Exact and full name of OWNER, as same appears of record ................................................................................................................ ._............................. <br />Ifmarried, full name of spouse .............................................. .. ......................................................................... _ ........................................................................................................ I............... <br />Ifunmarried, show " single, "" widower," "widow " ................................................................................................................................................................................. ............................... <br />If mortgage or other liens, show names of holders, amounts, dates and book page of record ................................................................................................... ............................... <br />......................................................... .............. ......................................... ............... .. ............................ ..... , ... _ .................... ................................................................................................... <br />........ ............................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .................................................. . . .......................... _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 />........................................................................................... ............................... <br />Name of executor or administrator ....................... ........................._..:.. <br />If any of the owners or heirs are minors, give their names and ages <br />................................................................................ ............................... <br />Nameof guardian .............................................. ............................... <br />TENANT - Exact and full names. Rent Agreement <br />