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� . .� , <br />20120654� <br />Return To: Heritage Bank <br />PO Box 3291101 12th Street <br />Aurora, NE 68818 <br />State of Nebraska 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 properly in the future. However, if I establish a homestead on <br />any part of said real estate during the time the mortgage or deed of trust remains unsatisfied and <br />is a lien upon the real estate, I will have no right to make a designation of homestead in the event <br />of a foreclosure or trustee's sale upon such mortgage or deed of trust. <br />Homestead <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 />homestead 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 />VMPO Bankers SystemsrM <br />Wolters Kluwer Financial Services OO 1987, 2011 <br />V M PC 329 (N E) (1107 ).00 <br />DRDH-LAZ-NE 7/1 /2011 <br />Page t of 2 <br />Nft� <br />