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200510' 0531 <br />IN WITNESS WHEREOF, the undersigned has /have executed this Deed of Trust effective as O&ANUARY 19, 2005 <br />(Individual Trustor) n <br />Printed Name RICHARD L SIEMERS <br />(Individual Trustor) <br />Printed Name <br />N/A <br />Trustor Name (Organization) <br />a <br />By <br />Name and Title <br />By <br />Name and Title N/A <br />( Trustor Address) (Beneficiary Address) <br />5076 W ABBOTT RD 400 CITY CENTER <br />GRAND ISLAND, NE 68803 OSHKOSH, WI 54901 <br />STATE OF .iJ4_. <br />SS. <br />COUNTY OFC <br />This instrument was acknowledged before me on 1 W I IC ZK-J ! . ,, by RICHARD L SIEMERS <br />(Dat) ^' (Name(s) of person(s)) <br />as <br />a single individual <br />(Type of authority, if any, e.g., officer, trustee; if an individual, state 'a married individual' or "a single individual') <br />of N/A <br />(Name of entity on whose behalf the document was executed; use N/A if individual) <br />a N/A on behalf of the <br />(State of Organization, Type of Organization) <br />N/A <br />( Type of Organization) <br />(Notarial Seal) <br />CONNIE K. SKALKA <br />MY COMMISSION EXPIRES <br />NOTARY' <br />=• "�qAS�: ":° January 29, 2007 <br />This instrument was drafted by <br />Printed Name: <br />Notary Public, State of: <br />My commission expires: <br />(name) <br />on behalf of <br />COLLATERAL DEPARTMENT <br />After recording return to U.S. BANK N.A. P.O. BOX 3487, OSHKOSH, W1 54903 -3487 <br />(name) (address) <br />1714NE Page 8 of 8 <br />