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BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security <br />Instrument and in any Rider executed by Borrower and recorded with it. <br />Witnesses: <br />Philip S Burt <br />IDS, Inc. <br />./(44 <br />Nd11WY -Stie DAMELROM <br />- iwly Comm. Bo. Apt 7'. 2018 <br />i <br />ce. <br />-Witness - Witness <br />(Seal) <br />- Borrower Vic J Burt <br />►l•aU! . Z• �t� <br />- Borrower <br />2 01507772 <br />Seal <br />STATE OF NEBRASKA, Ball County ss: <br />The foregoing instrument was acknowledged before me this day of /aKfe'VA <br />249/5" , by Philip S Burt and Vj ski J Burt. <br />Witness my hand and notarial seal at / - IJ . A) in said County, the date aforesaid. <br />My Commission Expires: April 7, 2016 <br />Notary Public Daniel Roth <br />Loan originator (organization): Exchange Bank; NMLS #: 411384 <br />Loan originator (individual): Daniel Roth; NMLS #: 464864 <br />NEBRASKA - Single Family-Fannie Mae&Freddle Mac UNIFORM INSTRUMENT with MERS Form 3028 1/01 <br />Page 13 of 13 <br />