Laserfiche WebLink
200202823 <br />Dated this ..... /12..*L....... <br />day of .... ........ ............................... 20(A Dated lids.........,...,....,....,... day of .......................... , ..................................... .... 2W0 <br />On the above dam, before me a General Notary Public duly commissioned and On dm above date, before me a General Noisily Public duly commissioned and <br />qualified. personally cattle .................................................. ............................... qualified, personally cwne .....................................,...................... ............................... <br />.�...,, Atb ............ . ............ . .......... . ............. .... ...... ...:........... _ .................... , ........................ I ...... <br />,..... <br />......,..,._ ................................................................................. ............................... ............ ,, ................................................................................. ............................... <br />.......... <br />....................................................................................... ............................... M ............. I... ...... . ........ . .................................... , ...... , ......... .............. ......................... , ..................... <br />..,,.. <br />To me known to be the i nlical person ... ,y. whose name.S.• cd to the foregoing To me (mown to be am identical person .m..... whose name......, affixed to [lie foregoing <br />inst(umm'r�s gmn)rr ...yd,y(djcAoVjed )jed the same to untary act and decd instrument as grantor........ and acknowledged ire same to be a voluntary act and deed. <br />t std o al We day and 1 ar bove w tan. WITNESS my hand and Notarial Seal the day and year above written. <br />Nouir...... .... ..... ... . ..... . ..... ...................... ............................... Notary................... <br />My commission expires the j y :5eday of ... ..hk,.!:: ^Jai ....,..., 204 My commission expires the ............ day of .............. .... 2Wr1 <br />,, XM7 TARY -State of Nebraska <br />STATE OF.... ..... P...` ./ ..!.:�:..7..l.Lt.a .. ..... <br />N G MORAVEK STATE OF................................... ............................... <br />177 m. Exp. Jan. 19, 2005 5 5. <br />....................... .. ............................ COUNTY .................................... ............................... COUNTY <br />(;i fa�il!%� <br />PLEASE PRINT ALL NAMES <br />Exact and full name of OWNER, as same appears of record <br />Ifmarried, full name of spouse ............................ _ .... _._ ... __.................................................. <br />Ifunmarried, show "single," "widower," "widow " .......... ................. _ .......... ............................... <br />If mortgage or other liens, show names of holders, amounts, dates and book page of record <br />If an estate, give the names of all the heirs, with the share of each. Show names of spouses of those married <br />Name of executor or administrator .... . .............. _ ...................... _......... <br />If any of the owners or heirs are minors, give their names and ages <br />Name of guardian <br />TENANT - Exact and full names. Rent Agreement <br />.. r ,111• .. ��. .. <br />