NE Acknowledgment-Individual 1

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

Individual acting in his own right:

State of

County of

The foregoing instrument was acknowledged before me this (date) by (name of person acknowledged).

(Signature of Person Taking Acknowledgment)

(Title or Rank)

(Serial Number, if any)

No guidelines are available for this form at this time.