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Dated this ______ day of __________________________,2021. <br />GRANTOR: <br />Urban Enterprise Association of South Bend, Inc. <br />By: _____________________________________ <br />Printed: __________________________________ <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 this _________day of <br />___________________________, 2021, personally appeared______________________________________, <br />known to me to be the ________________________________________of the Urban Enterprise Association <br />of South Bend, Inc., and acknowledged the execution of the foregoing Quit Claim Deed, being authorized so <br />to do. <br />IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my official seal. <br />______________________________________ <br />____________________________, Notary Public <br />Resident of ______________County, __________ <br />Commission expires: _____________________ <br />\ <br />I affirm, under the penalties for perjury, that I have taken reasonable care to redact each Social Security number in <br />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. Jefferson Blvd., <br />South Bend, Indiana 46601