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2oososio~ <br />IN WITNESS WHEREOF, fh@ undersigned has/have executed this Deed of Trust effective as of NOV~ssBR 16 2 09 <br />(Individual 7rustor) <br />Printed Name tlaC~ <br />(Individual Trustor) <br />Printed Name <br />7rustor Name (Organization) <br />a <br />By <br />Name and Title <br />By <br />Name and Title <br />(Trustor Address) <br />(Beneficiary Address) <br />9436 Revea Hallow Road 400 CITY CSNTl3~ <br />Brentwood TN 37027 08HZCOSH. NZ 54901 <br />STATE OF _.. ~~ <br />ss. <br />COUNTY OF :~ ~ • ° M t~°n <br />~'Ca o o b Marcia F Kerrigan <br />This Instrument was acknowledged before me on (dam) ~ y (Nnme(a) o~raon(s)) <br />__ , a8 <br />(type ai nuthorlty, if nny, e.g., pfflcer, trustee; If en indivldunl, state "a married IndMdual" or °a single Individual') <br />of N A <br />(Name oT entity on whose behalf the document wns executed; use N/A If Individual) <br />a N A , on behalf of the <br />(State of Organlzatlon, Type of Organlzntian) <br />N A <br />(Type of Organlzntlon) <br />(Notarial Seal) \~-~-~'4M <br />Printed Name: <br />Notary Publio, State af:" ~ 2 TENN <br />My commission expires: I c~a~.3 `~ ~ TA R Y ,,~ <br />~ ~ ti <br />t <br />This Instrument was drafted by Matt dust; n ___ ' "' <br />(name) <br />on behalf of <br />COLLATERAL DEPARTMENT <br />After reoording return to a n nnY ~ nsurns~, WI 54903-3487 <br />(name) (address) <br />1714NE Page 8 of S <br />