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20050210'7 <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: Jacobsen Enterprises Incor orated <br />(Signature) A (Date) � Gary R. Jacobsen, Secretary (Date) <br />(Signature) <br />(Date) <br />(Signature) <br />(Date) <br />❑ Refer to the Addendum which is attached and incorporated herein for additional Trustors, signatures and <br />acknowledgments. <br />ACKNOWLEDGMENT: <br />STATE OF <br />COUNTY OF <br />} SS. <br />llndividuall This instrument was acknowledged before me this day of <br />by Gerald R. Jacobsen; Gary R. Jacobsen, A Nebraska Corporation <br />My commission expires: <br />(Notary Public) <br />STATE OF NE COUNTY OF C3Lrrm� } SS. <br />This instrument was acknowledged before me this day of <br />by R MR��Gary R. Jacobsen Secretary <br />(Business <br />or Entity <br />(Title(s)) <br />Acknowledg- of Jacobsen Enterprises Incorporated .._.__, <br />(Name of Business or Entity) <br />meat) a Nebraska Corporation on behalf of the business or entity. <br />My commission expires: <br />(Notary Public) <br />omA K KASLW <br />1* cam f* ov. 25. <br />©1993, 2001 Bankers Systems, Inc., St. Cloud, MN Form AGCO - RESI -NE 1117/2003 (page 8 of 8) <br />4 <br />