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<br />r <br /> <br />.".,~ <br /> <br />9" , <br />,~ <br />~ <br /> <br /> <br /> <br /> <br />INSTRUCTIONS: <br />(1) If the lief. is claimed by a fitm or CIWporaiWlt, state lure IMt IlfJianl is a member <br />lJffidal copo.city i.. the CIWPorotio... <br />(zjStiste''herll whether verbal M' 'diritlAA cl1fttnJct. If writlffl, attach ClJpy, or lun is vaid. <br />(3) "EruMlt," "COtUtnIf.'ti"",:' "AlleraJtoa," or "Repmr,"iJS theCtUif~ be; <br />(4) Here ill$ert ct>n'ett legal descripM1Iof land. <br />(5) If '''' ltWor ondmatllri4lwerefru'nisJud ,''' c01Itrcctar ond <br />was t"tJ co..mu:tar 0" said building and actiflg for t'" <br />(6), If mnlt It8s bet1lgilmJ;. soy "said_ is <br />bftfrg.. hitreta atIf1chedond ,ltlIrked 'Exhibil <br /> <br /> <br />J....~.......i <br />~:~~ <br />~...~..... <br />~ <br /> <br />6 <br />Z <br /> <br />I ;~~~ ~ <br />~.: ::~ ,-: C- <br />1. ,~j~~,: = <br /> <br />~ l ij...-~'': N'\ <br />]ro :~: <br />r$J ~ -~ <br />~:C * <br /><Iii ..,. <br /> <br />;;,. '", {.. <br />'. . <br /> <br />" <br />'Ii' <br /> <br />"'" <br />=- <br />..., <br /> <br />'i:.~'" <br />'-u <br /> <br />p <br /> <br />f'c. <br />\ .C, <br />", <br /> <br />t <br />