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[Check applicable box(es)] <br />❑ <br />Adjustable Rate Rider <br />❑ <br />Condominium Rider <br />❑ <br />Graduated Payment Rider <br />❑ <br />Planned Unit Development Rider <br />❑ <br />Balloon Rider <br />❑ <br />Rate Improvement Rider <br />® <br />VA Rider <br />❑ <br />Other(s) [Specify] <br />200001655 <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 rider(s) <br />executed by Borrower and recorded with it. <br />Witnesses: <br />STATE OF Nebraska <br />COUNTY OF Hall <br />(mil) <br />Borrows <br />"-49--=41 <br />reg A <br />C -L <br />-41 & I (Seal) <br />Borrower Martha G Storz <br />(Seal) <br />Borrower <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />f ss: <br />(Seal) <br />I, William L McLellan , a Notary Public in and for said county and state, do hereby <br />certify that Greg A Storz and Martha G Storz , 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 instrument <br />have executed same, and acknowledged said instrument to be their , free and voluntary act and deed and that they <br />(his, her, their) (he, she, they) <br />executed said instrument for the purposes and uses therein set forth. <br />Witness my hand and official seal this 28th day of February 2000 <br />My Commission Expires: August 1 000 <br />� // CFNFAq <br />� Fy °'Mc��LNPb'dsi <br />This instrument was prepared by: <br />Form 3028 9 /90 <br />F4009.1-MG (11/99) Page 5 of 6 <br />