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[Check applicable box(es)] <br />❑ Adjustable Rate Rider <br />❑ Graduated Payment Rider <br />❑ Balloon Rider <br />906601365 <br />❑ Condominium Rider <br />❑ Planned Unit Development Rider <br />❑ Rate Improvement Rider <br />❑ Other(s) [Specify] <br />❑ 1 -4 Family Rider <br />❑ Biweekly Payment Rider <br />❑ Second Home 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 />(Seal) <br />Borrower Kenneth H. Tell <br />(Seal) <br />orrower Jan Nuernberger T <br />(Seal) <br />Borrower <br />rrower <br />[Space Below This Line For Acknowledgment] <br />STATE OF Nebraska <br />ss: <br />COUNTY OF Hall <br />(Seal) <br />I, djae / �l a Notary Public in and for said county and state, do hereby <br />certify that Kenneth H. Tell and Jan Nuernberger Tell 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 />and that they executed said instrument for the purposes aA uses Nelrein set forth. <br />(he, she, they) <br />Witness my hand and official seal this 10th day of February 2000 <br />My Commission Expires: <br />This instrument was prepared by: <br />GENERAL NOTARY-SUN of Mob r]ka <br />MICHAEL L CORMAN <br />M) Comm. Ea Oct 14, <br />F1029.1-MG (10/99) <br />Page 5of5 <br />SEAL <br />Form 3028 9/90 <br />UNION TITLE COMPANY <br />6801 EAST 0 STRFFT <br />