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In witness whereof the Owner has duly executed this Rehabilitation Program Mortgage and Repayment <br /> Agreement. <br /> Owner and Mortgagor: <br /> (Name) <br /> STATE OF MINNESOTA) <br /> )ss. <br /> COUNTY OF( ) <br /> The foregoing instrument was acknowledged before me this day of ,20_,by <br /> (Name) <br /> Notary Public <br /> S-1 <br />