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(Check applicable box(es)] <br />❑ Adjustable Rate Rider ❑ <br />Condominium Rider <br />❑ Graduated Payment Rider ❑ <br />Planned Unit Development Rider <br />❑ Balloon Rider ❑ <br />Rate Improvement Rider <br />❑ <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 />(Sea <br />Borr er <br />(Seal) <br />Borrower <br />(Seal) <br />Borrower <br />(Space Below This Une For Acknowledgment) <br />STATE OF y- � <br />COUNTY OF aA F + as: <br />I , a Notary , Public in and for said county and state, do hereby <br />certify that <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 ZA e.. _ , free and voluntary act and deed <br />and that executed said Instrument for the purposes and usesriherein set forth. <br />(he. she, th <br />Witness my hand and official seal this /q&, day of <br />My Commission Expires: <br />6EMERAL IaTARY -Sate of Ne0t <br />This Ins MEW *AVakW %ALLAHAN <br />Comm. Exp. July 18, 20M <br />F1029.1-MG (2/96) <br />Page 5 of 5 <br />Form 3028 9/90 <br />