Exhibit 10.74

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|Signed and acknowledged in the presence of:
Signature/s/ Tracy W. Carte
Print NameTracy W. Carte

Signature/s/  Rita J. Rogge
Print NameRita J. Rogge      | HEALTH CARE REIT, INC.
By:/s/ Erin C. Ibele

Title:Vice Pres and Corporate Secretary                                                
|---------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------
|Signed and acknowledged in the presence of:




Signature/s/ Tracy W. Carte
Print NameTracy W. Carte

Signature/s/  Rita J. Rogge
Print NameRita J. Rogge  | HCRI INDIANA PROPERTIES, LLC

By:Health Care REIT, Inc.
Member

By:/s/ Erin C. Ibele

Title:Vice Pres and Corporate Secretary       
|Signed and acknowledged in the presence of:





Signature/s/ Tracy W. Carte
Print NameTracy W. Carte

Signature/s/  Rita J. Rogge
Print NameRita J. Rogge | HCRI NORTH CAROLINA PROPERTIES, LLC

By:Health Care REIT, Inc.
Member

By:/s/ Erin C. Ibele

Title:Vice Pres and Corporate Secretary
|Signed and acknowledged in the presence of:

Signature/s/ Tracy W. Carte
Print NameTracy W. Carte

Signature/s/  Rita J. Rogge
Print NameRita J. Rogge     | HCRI TENNESSEE PROPERTIES, INC.

By:/s/ Erin C. Ibele

Title:Vice Pres and Corporate Secretary                                      

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|Signed and acknowledged in the presence of:




Signature/s/ Tracy W. Carte
Print NameTracy W. Carte

Signature/s/  Rita J. Rogge
Print NameRita J. Rogge | HCRI TEXAS PROPERTIES, LTD.

By:Health Care REIT, Inc.
General Partner

By:/s/ Erin C. Ibele

Title:Vice Pres and Corporate Secretary
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|Signed and acknowledged in the presence of:




Signature/s/ Tracy W. Carte
Print NameTracy W. Carte

Signature/s/  Rita J. Rogge
Print NameRita J. Rogge | HCRI WISCONSIN PROPERTIES, LLC

By:Health Care REIT, Inc.
Member
By:/s/ Erin C. Ibele

Title:Vice Pres and Corporate Secretary       
|Signed and acknowledged in the presence of:

Signature: /w/ Eric Hoagland
Print Name  /s/ Eric Hoagland

Signature/s/ Jeff Jensen
Print NameJeff Jensen   | ALTERRA HEALTHCARE CORPORATION

By:/s/ Mark W. Ohlendorf

Title:Senior Vice President

Tax I.D. No.:39-1771281                       
|Signed and acknowledged in the presence of:


Signature/s/ Patricia Sauer
Print NamePatricia Sauer

Signature  /s/Amy Hickman
Print Name  Amy Hickman     | MANLIUS CLARE BRIDGE OPERATOR, INC.

By:/s/ Colleen Endsley

Title:President

Tax I.D. No.:16-1564848                                

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STATE OF OHIO)

) SS:

COUNTY OF LUCAS)



The foregoing instrument was acknowledged before me this 31st day of December, 2002 by Erin C. Ibele, the Vice President and Corporate Secretary of Health Care REIT, Inc., a Delaware corporation, on behalf of the corporation.



/s/ Rita J. Rogge

Notary Public



My Commission Expires:5/21/06[SEAL]





STATE OF OHIO)

) SS:

COUNTY OF LUCAS)



The foregoing instrument was acknowledged before me this 31st day of December, 2002 by Erin C. Ibele, the Vice President and Corporate Secretary of Health Care REIT, Inc., a Delaware corporation and the sole member of HCRI Indiana Properties, LLC, a limited liability company organized under the laws of the State of Indiana on behalf of the limited liability company.



/s/ Rita J. Rogge

Notary Public



My Commission Expires:5/21/06[SEAL]









STATE OF OHIO)

) SS:

COUNTY OF LUCAS)



The foregoing instrument was acknowledged before me this 31st day of December, 2002 by Erin C. Ibele, the Vice President and Corporate Secretary of Health Care REIT, Inc., a Delaware corporation and the sole member of HCRI North Carolina Properties, LLC, a limited liability company organized under the laws of the State of Delaware on behalf of the limited liability company.



/s/ Rita J. Rogge

Notary Public



My Commission Expires:5/21/06[SEAL]



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STATE OF OHIO)

) SS:

COUNTY OF LUCAS)



The foregoing instrument was acknowledged before me this 31st day of December, 2002 by Erin C. Ibele, the Vice President and Corporate Secretary of HCRI Tennessee Properties, Inc., a corporation organized under the laws of the State of Delaware on behalf of the corporation.



/s/ Rita J. Rogge

Notary Public



My Commission Expires:__________[SEAL]







STATE OF OHIO)

) SS:

COUNTY OF LUCAS)



The foregoing instrument was acknowledged before me this 31st day of December, 2002 by Erin C. Ibele, the Vice President and Corporate Secretary of Health Care REIT, Inc., a Delaware corporation and the general partner of HCRI Texas Properties, Ltd., a limited liability partnership organized under the laws of the State of Texas on behalf of the limited partnership.



/s/ Rita J. Rogge

Notary Public



My Commission Expires:__________[SEAL]



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STATE OF OHIO)

) SS:

COUNTY OF LUCAS)



The foregoing instrument was acknowledged before me this 31st day of December, 2002 by Erin C. Ibele, the Vice President and Corporate Secretary of Health Care REIT, Inc., a Delaware corporation and the sole member of HCRI Wisconsin Properties, LLC, a limited liability company organized under the laws of the State of Delaware on behalf of the limited liability company.



/s/ Rita J. Rogge

Notary Public



My Commission Expires:__________[SEAL]









STATE OF WISCONSIN)

) SS:

COUNTY OF MILWAUKEE)



The foregoing instrument was acknowledged before me this 27th day of December, 2002 by Mark W. Ohlendorf, the Senior Vice President of Alterra Healthcare Corporation, a Delaware corporation, on behalf of the corporation.



/s/ J. C. Hansen

Notary Public



My Commission Expires:  5-21-06[SEAL]





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STATE OF WISCONSIN)

) SS:

COUNTY OF MILWAUKEE)



The foregoing instrument was acknowledged before me this 2ND day of January, 2003 by Colleen Endsley, the President of Manlius Clare Bridge Operator, Inc., a New York corporation, on behalf of the corporation.



/s/ J. C. Hansen

Notary Public



My Commission Expires:5-21-06[SEAL]





THIS INSTRUMENT PREPARED BY: