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[Check applicable box(es)] <br /> ����� � 498 <br /> ❑ Adjustable Rate Rider ❑ Condominium Rider ❑ 1-4 Family Rider <br /> ❑ Graduated Payment Rider ❑ Planned Unit Development Rider ❑ Biweekly Payment Rider <br /> ❑ Balloon Rider ❑ Rate Improvement Rider ❑ Second Home Rider <br /> Q Other(s) [speciry� Assignment of Rents Rider <br /> BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security Instrument and in any <br /> rider(s) executed by Borrower and recorded with it. <br /> W itnesses: <br /> �i���%�/�'�!�""�'_ (Seal) <br /> B�«�Wa� Russel H Helton <br /> (Seal) <br /> fOWB� Jane Helton <br /> (Seai) <br /> 6orrower <br /> (Seal) <br /> eo«o W a� <br /> (Space Below This Line For AcknowledgmentJ <br /> STATE OF Nebraska <br /> � ss: <br /> COUNTY OF Hall <br /> I, Sherri L O'Callaghan , a Notary Public in and for said county and state, do hereby <br /> cert�ry cnat Russel H Helton and Jane S Helton , husband and wife <br /> personally appeared before me and is (are) known to me to be the person(s) who, being informed of the contents of the foregoing <br /> instrument, have executed same, and acknowledged said instrument to be their , free and voluntary act and deed <br /> (his, ner, t eir <br /> and that they executed said instrument for the purposes antl uses t�ier�ein set forth. <br /> �na, sne, tney� <br /> Witness my hand and official seal this 14th day of Januarv , 2000 <br /> nny comm�ss�or, EXp�res: September 28, 2003 . � i <br /> � <br /> , <br /> GENERAL NOTARY-Shte al Nebrasw sea� <br /> I'I SHERRI L.O'CALLAGNAN ri L 0'Callag an <br /> This instrument was prepared by: --- My Comm.btp.Sept 28,2003 <br /> Form 3028 9/90 <br /> F7029.LMG (10/99) Page 5 of 5 <br /> �_ <br />