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<br />200705615 <br /> <br />DESIGNATION OF HOMESTEAD <br /> <br />Pursuant to the Farm Homestead Protection Act, designation of homestead 0 is attached to this Deed of Trust and <br />made a part hereof 0 has been disclaimed; the disclaimer is attached to this Deed of Trust and made a part hereof. <br /> <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 /> <br />o Actual authority was granted to the parties signing below by resolution signed and dated <br /> <br />Entity Name: MID.PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES,INC. <br /> <br /> <br />ENT <br /> <br />(g ~g 1 <br /> <br />Date) <br /> <br />(Signllture) <br /> <br />(Date) <br /> <br />(Signature) <br /> <br />(Date) <br /> <br />(Signllturel <br /> <br />(Date) <br /> <br />o Refer to the Addendum which is attached and incorporated herein for additional Trustors, signatures and <br />acknowledgments. <br /> <br />ACKNOWLEDGMENT: <br />STATE OF , COUNTY OF <br />lIndividuall This instrument was acknowledged before me this day <br />by <br />My commission expires: <br /> <br />} 55. <br /> <br />of <br /> <br />(Notary Public) <br /> <br />STATE OF NE ' COUNTY OF <br />This instrument was acknowledged before me this day 28TH <br />by SCOTT A. DUGAN. PRESIDENT <br /> <br />.~/cJf <br /> <br />of JUNE. 2007 <br /> <br />} ss. <br /> <br /> <br />GENERAL NOTARY - Slale of Nebraska <br />sue NELSON <br />My Comm. Exp. July 10, 2009 <br /> <br />(Titla(s)) <br />(Name of Business Dr Entity) <br />on behalf of th~ ::7nti'Y <br /> <br />cdt-R- /?e.~ <br /> <br />(Notary Public)" <br /> <br />(llusl"".. <br />o,emity <br />Acknowled9- <br />mentl <br /> <br />of MID.PLAINS CENTER FOR BEHAVIORAL HEALTHCARE SERVICES, INC. <br />a NEBRASKA <br />My commission expires: 1.... )0..... {) / <br /> <br />~M @ 1993. ~OOl Bankers Systoms, Inc.. St. Cloud. MN Form AGCO-RESI-NE 1I171~003 <br /> <br />(page 8 of 8) <br /> <br />.....----r- <br />