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Dated this ....fh" ............. day of ..... 0.!..:(..4............. ................................ 204 <br />On the above date, before me a General Notary Public duly commissioned and <br />qualified. personally came ............................................................ ............................... <br />200203185 <br />Datedthis ........................... day of ........................................ ..........................12LIW <br />On We above date, before ere a Cenral Noisily Public duly commissioned and <br />qualified, personally came ............................................................ ............................... <br />To me known to be the identical person .5.. <br />whose name... affix to the foregoing <br />To era (mown to be We identical person ....... whose name....... affixed to the foregoing <br />inslrume grant <br />... xekno I <br />ed the same to be <br />t and deed. <br />instrument as grantor........ and acknowledged die same to be a voluntary act and deed. <br />IT o <br />We day and year <br />written. <br />WITNESS my hand and Notarial Seal the day and year about written. <br />Notary...... .... . .... ...... .....p. . .. .... ..T.............. ..... .......... I...... Notary .._ ........ .. .................. _ ..... ...... ....... I .......... ............. <br />My comrtdssion expires the ..19... day of. v *e;rv............ 2urp My commission expires the ............ day of ......... <br />,y GENERAL NOTARY -State of Nebraska <br />I ,y MILTON G MO�s V-EK <br />STATE OR.... .....Z°..�.'r�..:••T•KIIA.... id-nuP`+n MY rcmm. Exi. Jan *AN ...................:.............. ............................... <br />SS. SS. <br />....................... ..... .."............ COUNTY .................................... ............................... COUNTY <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, data 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 ........ _._ ................... _.... ....... ......L.. <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 />2W0 <br />