NE Acknowledgment-Corporation 1

FORMS.--NO PARTICULAR FORM IS MANDATORY BY STATUTE. STATUTE DOES AUTHORIZE FOLLOWING (64-206):

Corporation:

State of

County of

The foregoing instrument was acknowledged before me this (date) by (name of officer or agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of incorporation) corporation, on behalf of the corporation.

Signature of Person Taking Acknowledgment)

(Title or Rank)

(Serial Number, if any)

No guidelines are available for this form at this time.