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[Check applicable box(es)] <br />❑ Adjustable Rate Rider <br />❑ Graduated Payment Rider <br />❑ Balloon Rider <br />101100ICO25O <br />❑ Condominium Rider ❑ 1 -4 Family Rider <br />❑ Planned Unit Development Rider ❑ Biweekly Payment Rider <br />❑ Rate Improvement Rider ❑ Second Home Rider <br />© Other(s) [Specify] 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 />Witnesses: <br />9: ��/ (Seal) <br />Borrow r Kyle A. Nabity <br />�- (Seal) <br />a A. Nabity <br />Borrower <br />Borrower <br />[Space Below This Line For Acknowledgment) <br />STATE OF Nebraska <br />SS: <br />COUNTY OF Hall <br />(Seal) <br />(Seal) <br />I, William L. McLellan , a Notary Public in and for said county and state, do hereby <br />certify that Kyle A Nabity and Shayla A. Nabity , 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, her, t eir <br />and that they executed said instrument for the purposes A uses tMPein set forth. <br />(he, she, they) <br />Witness my hand and official seal this 8th day of January 2001 <br />My Commission E <br />III GENERAL NOTARy_State of Nebraska <br />WILLIAM L. A4cLELLAN <br />My Comm. Exp. Aug 12, 2004 <br />This instrument was prepared by: <br />�William L. McLellan <br />Form 3028 9/90 <br />F10291MG (10/99) Page 5 of 5 <br />