KY Acknowledgment-Individual 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 _________________ and _______________________, husband and wife, parties of the first part, and __________________________ and __________________________, husband and wife, parties of the second part.

__________________________________ Notary Public State at Large, Kentucky

My Commission Expires:______________

This instrument was prepared by:

________________________________________

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