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Dated this day of <br />GRANTOR: <br />2019, <br />Habitat for Humanity of St. Joseph County, Inc. <br />By:_... <br />Name: <br />Title: <br />STATE OF INDIANA ) <br />) SS: <br />ST. JOSEPH COUNTY ) <br />Before me, the undersigned, a Notary Public for and in said County and State <br />this day of 2019, personally appeared <br />tomeknown to be the _ of <br />Habitat for Humanity of St. Joseph County, the Grantor, and c <br />acknowledged execution <br />of the foregoing Quit Claim Deed. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed <br />my official seal. <br />(SEAL) <br />...... Notary Public <br />Resident of —_ <br />........... County, Indiana <br />Commission expires <br />I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security <br />number in this document, unless required by law. Sandra L. Kennedy. <br />Prepared by Sandra L. Kennedy, Assistant City Attorney, 1200 S. County -City Building, 227 W. <br />Jefferson Blvd., South Bend, Indiana 46601. <br />