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��������� <br />INDIVIDUAL ACKNOWLEDGMENT <br />STATE OF NEBRASKA, HALL County ss: <br />On this, the 4th day of October , 2011 <br />before me, the subscriber, the undersigned officer, personally appeazed <br />JOSE LUIS MEDINA-BOLANOS , A SINGLE PERSON <br />a/k/a Jose L. Medina—Bolanos <br />laiown to me (or satisfactorily proven) to be the person(s) whose name(s) <br />subscribed to the within instrument and acknowledged that h� executed the <br />same for the purposes herein contained. <br />IN WITNESS WHEREOF, I hereunto set my hand and official sea1. <br />s � <br />My Commission Expires: <br />�-Z� � �� Notary Public <br />GENEf�AL NOTARY - State of Nebras�a <br />KARMIN MAUL <br />� IIV�yy Comm. Fxp. June 24, 2012 <br />Prepared By: <br />CARRIE PEARSON <br />CENTRIS FEDERAL CREDIT UNION <br />343 N 114TH STREET <br />OMAHA, NE 68154 <br />Record and Retum To: <br />CENTRIS FEDERAL CREDIT UNION <br />343 N. 114TH STREET <br />OMAHA, NE 68154 <br />]�B�S� — Single Family — Fannie Mae/Freddie Mac IAVIFORM INSCRUMENT Form 3028 1101 �/I ,, <br />`� v� <br />GCC- G3028-19 (09/Ol) (Page 19 of 19) Inid181s: <br />