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-�. <br />S"CA'I�G OF MINNESO"CA <br />COUNTY OF <br />SS. <br />� <br />On , 2009, bePore me, , a Notary Public in <br />and for said Stn[e, personally appeared , personally <br />known to me (or proved to me on tlie basis of satisfactory evidence) to be the person(s) whose name(s) <br />is/are subscribed to the within instrument and acknowledged to me the Ite(she/Utey executed the same in <br />his.�l�er/their authorized capacity(ies), and that by his/her/their signa[ure(s) on the instiument the <br />person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />WITNESS my hand and official seal. <br />Signature <br />The Grantor liereby certities that Grantor does not know of any wells on the described real <br />property. <br />Tax statements for the real propeirty described in <br />this lnstrument sliould be sent to: <br />The State of Minnesota <br />