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DEED OF TRUST <br />Loan No: 779505 1 A'732 (Continued) Page 9 <br />LIMITED LIABILITY COMPANY ACKNOWLEDGMENT <br />STATE OF <br />COUNTY OF 7R� � <br />► SS <br />On this ��� day of 20 y� , before me, the undersigned Notary Public, personally <br />appeared JAMES L THARES, Manager of GRAND ISLAND RETIREMENT LLC, and known to me to be partner or designated agent of the <br />limited liability company that executed the Deed of Trust and acknowledged the Deed of Trust to be the free and voluntary act and deed of the <br />limited liability company, by authority of statute, its articles of organization or its operating agreement, for the uses and purposes therein <br />mentioned, and on oath stated that he or she is authorized to execute this Deed of Trust and in fact executed the Deed of Trust on behalf of the <br />limited liability company. By <br />Notary Public i n for th State of <br />11.�IARrP,RET FJELQHEIM Residing at <br />SEAL NO IP.RY PUBLIC SEAL My commission expires <br />i SOU -i H DAKOTA <br />REQUEST FOR FULL RECONVEYANCE <br />(To be used only when obligations have been paid in full) <br />To: , Trustee <br />The undersigned is the legal owner and holder of all Indebtedness secured by this Deed of Trust. All sums secured by this Deed of Trust have <br />been fully paid and satisfied. You are hereby directed, upon payment to you of any sums owing to you under the terms of this Deed of Trust or <br />pursuant to any applicable statute, to cancel the Note secured by this Deed of Trust (which is delivered to you together with this Deed of Trust), <br />and to reconvey, without warranty, to the parties designated by the terms of this Deed of Trust, the estate now held by you under this Deed of <br />Trust. Please mail the reconveyance and Related Documents to: <br />Date: <br />Beneficiary: <br />By: <br />Its: <br />LASER PRO Lending, Ver. 5.22.10.005 Copr. Harland Financial Solulions, Inc. 1997, 2003. All Right, Reserved. - HE CACFINEW\CFRLP00011C TR -9762 PR -13 <br />