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X00906061 <br />LENDER'S STATEMENT OF INTENT <br />The undersigned ("Lender") intends that the Home be an immovable fixture and a permanent improvement <br />to the Land. <br />HERITAGE BANK <br />Lender <br />By: D <br />Author zed Sig ure <br />STATE OF NEBRASKA ) <br />ss.: <br />COUNTY OF HALL ) <br />~~ <br />On the °r ~ day of _ .~~-lam ~ in the year ~--~ ~ ©q befo e <br />me, the undersigned, a Notary Public in and for said State, personally appeared _ ~ ~ ~~ ~ ~~ . ~ C7'~ ~ {7~ <br />personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose <br />name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the <br />same inhis/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), <br />or the person on behalf of which the individual(s) acted, executed the instrument. <br />GENERALNOTARY-StakA ~ Ne6r~ka <br />MARY KREJ{~ <br />My Comm. ~, Atgust 2~, ~Ih2 <br />(Official Seal) <br />Drafted By: <br />Notary Signat ~ ~ _ ` <br />Notary Printed ame <br />Notary Public; State of 1-~ Ql~~S~°C.,r> <br />Qualified in the County of ~~'^+~-`1©~ <br />My Cotmnission Expires: $- a~ a©+ "~-- <br />AFFIXATION AFFIDAVIT REGARDING MANUFACTURED <br />(AND FACTORY BUILT) HOME <br />AARMFBH.MSC 11!21/07 Page 4 of 4 <br />DOCMaQIC QxSYY((Ln~, 800-649-1362 <br />www. docmagic, com <br />AarmlLh.msc.xml <br />