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Loan No: 120935 DE(Continued) ST Cont OF nu d)ST 200315038 Page 7 LIMITED LIABILITY COMPANY ACKNOWLEDGMENT STATE OF Pe IlrW t A ) ) SS COUNTY OF a, 62IAg_ ) On this i13 M day of f yem L 20 0, before me, the undersigned Notary Public, personally appeared Joel Shafer, Manager of Shafer Medical Two, L.L.C., and known to me to be partner or designated agent of the 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 limited liability company, by authority of statute, its articles of organization or its operating agreement, jor the VKs and purposes therein mentioned, and on oath stated that he or she is authorized to execute this Deed of Trust and in fact executed t Deed pf ArustApn behalf of the limited liability company. By Notary Public in and for the State of v)q.i GENERAL NOTARY - State R Nebraska Residing at V C KEVIN D. PARDE .-,-�, Aty Comm. In- Oct 8, 2006 My commission expires D �, OIC P REQUEST FOR FULL RECONVEYANCE (To be used only when obligations have been paid in full) To: , Trustee 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 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 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), 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 Trust. Please mail the reconveyance and Related Documents to: Date: Beneficiary: By: Its: LASER PRO Lendin0, Ver. 5.22.00.003 CoPr. Harland Financial Solutions, Inc. 1007, 2003. All Rights Reserved. - HE F: \LENDING %CFI%LPL %GO1.FC TR -5109 PR -4