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[The undersigned purchaser acknowledges receipt of this notice before the effective date <br /> of a binding contract for the purchase of the real property at the address described above. The <br /> undersigned purchaser acknowledged the receipt of this notice including the current <br /> information required by Section 5.0143, Texas Property Code, as amended. <br /> DATE: DATE: <br /> SIGNATURE OF PURCHASER SIGNATURE OF PURCHASER <br /> STATE OF TEXAS § <br /> COUNTY OF § <br /> The foregoing instrument was acknowledged before me by and <br /> , known to me to be the person(s)whose name(s) is/are subscribed to the <br /> foregoing instrument, and acknowledged to me that he or she executed the same for the <br /> purposes therein expressed. <br /> Given under my hand and seal of office on this 20 . <br /> Notary Public, State of Texas]3 <br /> To be included in separate copy of the notice required by Section 5.0143, Tex. Prop. Code,to be executed at the <br /> closing of the purchase and sale and to be recorded in the deed records of Hays County. <br />