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201102256
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Last modified
10/17/2011 2:13:22 PM
Creation date
3/22/2011 11:08:21 AM
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DEEDS
Inst Number
201102256
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pill a IDIOM <br />MASTER FORM DEED OF TRUST <br />By the execution and delivery of this Security Instrument, Borrower agrees that all of the provisions of <br />the Master Form Deed of Trust are hereby incorporated in their entirety into this Security Instrument. Borrower <br />agrees to be bound by and to perform all of the covenants and agreements in the Master Form Deed of Trust. A <br />copy of the Master Form Deed of Trust has been provided to Borrower. <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this <br />Security Instrument and in any Rider executed by Borrower and recorded with it. Borrower also acknowledges <br />receipt of a copy of this document and a copy of the Master Form Deed of Trust. <br />THO ,S G KEHM - Borrower <br />TRACEY J KE - Borrower <br />For An Individual Acting In His/Her Own Right: <br />State of Ne h yd ,P, &-, <br />County of de,, 11 <br />r <br />The foregoing instrument was acknowledged before me this 03/6q/,20 l % (date) <br />by � i vn D 0/1a 5 ��M 11E nd Yi�X LU l y° <br />(name of person acknowledged). <br />Witness my hand and official seal, this the I day of ny- h <br />[Notary Seal] <br />GENERAL ATRICIA SCHMIT <br />My Comm. Exp, May 5, 2013 <br />(Signature of Person Taking Acknowledgment) <br />( Ale or Rank) <br />(Serial Number, if any) <br />My Commission expires: ! <br />(Print Name of Person taking acknowledgment) <br />NEBRASKA — SHORT FORM OPEN -END SECURITY INSTRUMENT (page 3 of 4 pages) <br />HCWF# 4814-9165-7985v2 02/21/2009jjjj� <br />11111111111111muld Documents Processed 03 -07 -2011, 16:59:24 <br />
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