KY Acknowledgment-Attorney in Fact 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 _________________, husband and wife, parties of the first part, and __________________________ and ________________________, by _____________________, her attorney in fact, both unmarried, parties of the second part.

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Notary Public

_____________ State at Large, Kentucky

My Commission Expires: ______________

This instrument was prepared by:

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