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FOR NOTARIZATION OF BORROWERS <br />For An Individual cting In His/Her Own Right: <br />State of <br />County o <br />The foregoing instrument was acknowledged before me this <br />(date) <br />(name of person acknowledged). <br />Witness my hand and official seal, this the��) day <br />[Notary Seal] <br />GENERAL NOTARY Sia}e of Nebraska <br />dl' COREEN O ANDERSON <br />yAy E;omm. EXV August 04, 2012 <br />My Commission expires: f r 'ooY-- 3o _j )— <br />(Signature ofPerso�Takmg Acknowledgment) <br />(Title or Rank) <br />(Serial Number, if any) <br />(Print Name of Person taking acknowledgment) <br />LOC Modification Agrmt, HCWF #155v22 (02/19/2011) <br />201106107 <br />5/5 <br />Documents Processed 07 -26- 2011, 11:55:03 <br />