NE Acknowledgment-Public Officer, Trustee or Personal Representative 1

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

Public Officer, Trustee, or Personal Representative:

State of

County of

The foregoing instrument was acknowledged before me this (date) by (name and title of position).

(Signature of Person Taking Acknowledgment)

(Title or Rank)

(Serial Number, if any)

No guidelines are available for this form at this time.