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I <br />� <br />� <br />N � <br />a � <br />W <br />N <br />� � <br />- <br />- <br />� <br />� <br />� <br />r� <br />� <br />O <br />=o <br />� <br />C <br />� �, <br />� �: �' <br />I <br />Return To: Heritage Bank <br />1333 North Webb Road <br />P.O. Box 5138 <br />Grand Island, NE 68802•5138 <br />State of Nebraska <br />N <br />.•--� <br />�-+ <br />....+ <br />n��� D <br />_ � r' ;� <br />� r !�. C7 <br />c� <br />9R •° F-� <br />z� � <br />f�l _ <br />� _ <br />l� `-" Z7 <br />� <br />� � <br />p � � <br />\ � �� .r <br />�. -�, <br />� F~ � W <br />m � � <br />0 <br />N <br />C7 (n <br />o� <br />c n <br />Z � <br />� rn <br />� o <br />o � <br />T � <br />� rn <br />L� cr <br />r �� <br />r n <br />U: <br />�. <br />tii `i <br />� <br />� <br />� <br />F� <br />CG <br />� <br />� <br />� <br />Space Above This Line For Recording Data <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br />Each of the undersigned states as follows: <br />Non-Homestead <br />� I intend to grant a security interest in real property legally described on the attached mortgage <br />or deed of trust. No part of my homestead is presently situated on said real estate, nor will any of <br />my homestead be situated on said property in the future. However, if I establish a homestead on <br />any par� of said real estate during the time the mortgage or deed of trust remains unsatisfied and <br />is a lien�upon.�the �eal estats,"I w �have no right to make a designation of homestead in the event <br />of a foreclqsure or Etustee'$ sal�'u`�on �SUCh mortgage or deed of trust. <br />r ,. a <br />Homes'fe�d . . . ._ ...� ..,..e�> .� _ <br />❑ I intend to grant a security interest in real property legally described on the attached mortgage <br />or deed of trust. My homestead is located on said real estate, and I understand I have the right to <br />make a designation of homestead in the mortgage or deed of trust. If I waive or disclaim the right <br />to designate my homestead I am waiving rights, that I would otherwise have, to retain my <br />homestgad in the event of default upon such mortgage or deed of trust. I hereby waive and <br />disclaim the right to designate my homestead. <br />I have read the paragraph checked above, and I understand the contents of that paragraph. <br />Designation of Homestead-Disclaimer-NE <br />VMP� Bankers Syetems7M <br />Wolters Kluwer Fnancial Services OO 1987, 2011 <br />VMPC329(NE) (1107).00 <br />DRDH-LAZ-NE 7/1/2011 <br />Page 1 of 2 <br />� <br />� <br />Y,.1 <br />� <br />. <br />� <br />� <br />��'y � <br />�v <br />