......................[SEAL]
......................[SEAL]
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| STATE OF .............. | } SS. | I,......................... |
| County of .............. |
.................... in and for said County, in the State aforesaid, Do Hereby Certify, That ............... personally known to me to be the same person ...... whose name .............. .. subscribed to the foregoing instrument, appeared before me this day in person, and acknowledged that..he.. signed, sealed and delivered the said Instrument as ........... free and voluntary act, for the uses and purposes therein set forth, including the release and waiver of the right of homestead.
Given under my hand and ............... seal, this ......... day of ................ A. D. 19....
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