KY Acknowledgment-Corporation 1

STATE OF KENTUCKY )

)

COUNTY OF _____________________ )

I hereby certify that the foregoing deed and consideration statement was acknowledged and sworn to before me this ___________ day of _________ by _________________, a _________________________ of _________________________, a Kentucky Corporation, party of the first part, and __________________________ , party of the second part.

__________________________________

Notary Public

_____________ County Kentucky or State at Large, Kentucky

My Commission Expires: ______________

This instrument was prepared by:

________________________________________

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