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[Check applicable box(es)] <br />❑ Adjustable Rate Rider <br />❑ Graduated Payment Rider <br />❑ Balloon Rider <br />❑ Condominium Rider <br />❑ Planned Unit Development Rider <br />❑ Rate Improvement Rider <br />❑ Other(s) [Specify] <br />200001776 <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 />V-(3c------ - <br />Borrower "RON V. BURR (Seal) <br />Borrowerl-ISA M. BURR <br />(Seal) <br />borrower <br />(Seal) <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />STATE OF Nebraska <br />COUNTY OF Hall SS: <br />I, JON A. HEATH , a Notary Public in and for said county and state, do hereby <br />certify that AARON V. BURR AND LISA M. BURR . Husband and Wife as Joint Tenants with Right of <br />Surivorship <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 />( is, her, t eir) , <br />and that they executed said instrument for the purposes an uses Neireln set forth. <br />(he, she, they) <br />Witness my hand and official seal this 10th day of February 2000 <br />My Commission Expires: JANUARY 9, 2003 <br />SEAL <br />J A. <br />This instrument was prepared by: <br />X NERAL NOTARMate of Net uM <br />JON A. HEATH <br />Mp Cortxp. Eta Jul. 9, 2005 <br />Form 3028 9/90 <br />F1029.1-MG (10/99) Page 5 of 5 <br />