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2000121t <br />DESIGNATION OF HOMESTEAD <br />Pursuant to the Farm Homestead Protection Act, designation of homestead ❑ is attached to this Deed of Trust and <br />made a part hereof ❑ has been disclaimed; the disclaimer is attached to this Deed of Trust and made a part hereof. <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 />❑ Actual authority was granted to the parties signing below by resolution signed and dated <br />Entity Nam MIDWEST FRANCHISE CORPORATION <br />/ IS' nature► L Y A. MILLE _RESID (Date) (Signature) (D ate) <br />(Signature) ;Date) (Signature) (Date) <br />❑ Refer to the Addendum which is attached and incorporated herein for additional Trustors, signatures and <br />acknowledgments. <br />ACKNOWLEDGMENT: <br />STATE OF , COUNTY OF <br />(Individual) This instrument was acknowledged before me this day of <br />by <br />My commission expires: <br />(Notary <br />} ss. <br />STATE OF IA , COUNTY OF WOODBURY } ss. <br />This instrument was acknowledged before me this day 9TH of FEBRUARY, 2005 <br />WORRY A. MILLER RESIDENT <br />( Business, (Title(s)) <br />or Entipy <br />Acknohvledg -�of M EST FRANCHISE CORPORATION (Name of Busines or Entity) <br />ment) �__' a NEBRASKA CORPORATION on b hal the-b6sine entity. <br />My commission expires: <br />mcmAEL MAGEL <br />� commlaaor+ <br />Number 715eee <br />otary Pub WO <br />MY I i E plus MICHAEL R NAGEL <br />"' © 1993, 2001 Bankers Systems, Inc., St. Cloud, MN Form AGCO- RESI -NE 1/17/2003 (Page 8 of 8) <br />