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_______ _, a credible witness <br />and who executed the foregoing instrument, and acknowledged that he/she/they executed the <br />same as his/her/their free act and deed. <br />Notary Public <br />FEE OWNER(S): <br />By: _____________ _ <br />By: _____________ _ <br />ACKNOWLEDGEMENT (FEE OWNERS) <br />STATE OF MINNESOTA <br />COUNTY OF HENNEPIN <br />On this __ day of ______ , 20_, _____________ _ <br />__________ personally appeared before me, <br />__ who is personally known to me <br />__ whose identity I proved on the basis of ______________ _ <br />__ whose identity I proved on the oath/affirmation of __________ _ <br />--------" a credible witness <br />and who executed the foregoing instrument, and acknowledged that he/she/they executed the <br />same as his/her/their free act and deed. <br />STATE OF MINNESOTA <br />COUNTY OF HENNEPIN <br />Notary Public <br />On this __ day of ______ , 20_, ____________ _ <br />_________ personally appeared before me, <br />__ who is personally known to me <br />__ whose identity I proved on the basis of ______________ _ <br />Page 4 of 5