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TEANAWAY COLLATERAL ASSIGNMENT (COUNTY FUNDS) SIGNATURE PAGE <br /> <br />The foregoing Collateral Assignment of Deed of Trust and Promissory Note is hereby <br />accepted by Assignee as of the date first written above. <br /> <br />ASSIGNEE: <br /> <br />KITTITAS COUNTY, <br />a political subdivision of Washington State <br /> <br /> <br /> <br />By: _________________________________ <br />Name: _________________________________ <br />Title: _________________________________ <br /> <br /> <br />STATE OF WASHINGTON ) <br /> ) ss. <br />COUNTY OF KITTITAS ) <br /> <br /> <br />I certify that I know or have satisfactory evidence that ____________ is the person who appeared <br />before me and said person acknowledged that said person signed this instrument, on oath stated <br />that he/she was authorized to execute the instrument and acknowledged it as the ______________ <br />of the KITTITAS COUNTY, a political subdivision of Washington State, to be the free and <br />voluntary act of such party for the uses and purposes mentioned in the instrument. <br /> <br />DATED: ______________________. <br /> <br /> <br /> <br />Print Name: <br /> <br />Residing at: <br /> <br />My appointment expires: <br /> <br />