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4.12 HRSR 02-06-2017
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4.12 HRSR 02-06-2017
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In testimony whereof, the parties have executed this agreement as of the day and year first <br />written above. <br />Owner (s) <br />State of Minnesota <br />County of Sherburne <br />e12 — <br />Taara Sue Amine <br />On this 111 day of June 2010, before me, a notary public within and for the said <br />county, personally appeared Tura Sue Amrine, a single person, to me known to be the <br />person(s) described in and who executed the foregoing instrument and acknowledging that she <br />executed a as her free act and deed. <br />CRAIG W SCli1RN! <br />tary public NOTARY PUBLIC <br />MINNESOTA <br />M CommiselonExpires Jan.31,2018 <br />State of Minnesota <br />County of Sherburne <br />On this day of , 200_, before me, a notary public within and for the said <br />county, personally appeared <br />to me known to be the person(s) described in and who executed the foregoing instrument and <br />acknowledging that _he executed the same as _ free act and deed. <br />Notary public <br />Tax statements for the real property described in this instrument should be sent to: <br />Taara S. Amrine <br />17926 Vance Circle NW <br />Elk River MN 55330-4695 <br />THIS INSTRUMENT WAS DRAFTED BY RETURN TO: <br />Gray Plant Moody Tri -County Action Program, Inc. <br />Attn: Wade Anderson, Attorney P O Box 683 <br />500 IDS Center, 80 South Eighth Street Waite Park, MN 56387-0683 <br />Minneapolis MN 55402-3796 <br />This instrument is exempt from registration tax under Section 287.06 of Minnesota Statutes. <br />GP:2665147 v3 <br />
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