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201109442 <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security <br />Instrument and in any Rider executed by Borrower and recorded with it. <br />Witnesses: <br />T Hazen � r -sorrower <br />a <br />liJ ` (Seal) <br />Lee Hazen -Borrower <br />(Seal) <br />-Borrower <br />(Seal) <br />-Bortower <br />[Spaee Below This Line For Acknowledgment] <br />STATE OF NEBRASKA, Hall County ss: <br />On this 10 th day of December 10, 2011 , before me, the undersigned, a Notary Public <br />duly commissioned and qualified for said county, personally came <br />Gordon T Hazen, Lee A Hazen <br />, <br />to me known to be the identical person(s) whose name(s) aze subscribed to the foregoing instrument and <br />acknowledged the execution thereof to be his/her/their voluntary act and deed. <br />Witness my hand and notarial seal at 2009 N Diers Ave, Grand island, NE 68803 <br />in said county, the date aforesaid. <br />My Commission expires: I ,� - •�, �- ,�� � <br />�` � <br />f�ENERAL NOTMY - SYate of Nebraska d� `�� � " <br />LINDA M. GLAUSE Linda M Glause -Nmary aubiic <br />My Canm. Exp. Dec. 2, 2014 <br />NEBRASKA- Single Family - FannleMae/FreddieMac UNIFORM INSTRUMENT <br />Form 3028 7/07 <br />Laser Forms Inc. (800) 44Cr3555 <br />LFI #FNMA3028 eH 1 Page 13 of 13 <br />