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Return To: F &M BANK <br />204 N. MAIN ST. <br />WEST POINT, NE 68788 <br />State of Nebraska Space Above This Line For Recording Data i <br />Designation of Homestead - Disclaimer -NE <br />VMP® Bankers SystemsTM <br />Wolters Kluwer Financial Services © 1987, 2011 <br />n <br />7C` <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br />Each of the undersigned states as follows: <br />Non - Homestead <br />r <br />-z <br />r zj <br />r" - <br />Cr) <br />M I intend to grant a security interest in real property legally described on the attached mortgage <br />or deed of trust. No part of my homestead is presently situated on said real estate, nor will any of <br />my homestead be situated on said property in the future. However, if I establish a homestead on <br />any part of said real estate during the time the mortgage or deed of trust remains unsatisfied and <br />is a lien upon the real estate, I will have no right to make a designation of homestead in the event <br />of a foreclosure or trustee's sale upon such mortgage or deed of trust. <br />Homestead ----- <br />>,. <br />❑ 1 intend to grant a security interest in real property legally described on the attached moftgage <br />or deed of trust. My homestead is located on said real estate, and I undgr ta,octi h e: <br />make a designation of homestead in the mortgage or deed of trust. If I waive or disclaim the right <br />to designate my homestead I am waiving rights, that I would otherwise have, to retain my <br />homestead in the event of default upon such mortgage or deed of trust. I hereby waive and <br />disclaim the right to designate my homestead. <br />I have read the paragraph checked above, and I understand the contents of that paragraph. <br />VMPC329(NE) (11071.00 <br />DRDH- LAZ -NE 7/1/2011 <br />Page 1 of 2 <br />o <br />m <br />m <br />rn <br />N C7 <br />ca c <br />CJl G) <br />cp <br />co <br />Q <br />a, <br />N � <br />