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5,- <br />C�) J <br />V <br />State of Nebraska <br />M <br />M <br />C7 Z <br />� N <br />D <br />0 M (n <br />�o <br />t <br />C� <br />cil <br />rn � <br />c� <br />o C,•`_ <br />M <br />M= <br />0 <br />I <br />O <br />C-) (n <br />CD -4 <br />c 'X- <br />z m <br />—i <br />p <br />rn �. <br />rn <br />D W <br />r � <br />r n <br />cn <br />D <br />C (n <br />W <br />Space Above ThiVine For Recording Data <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br />Each of the undersigned states as follows: <br />Non - Homestead <br />CD <br />N <br />O <br />CD <br />1✓ <br />O <br />CD <br />Qn <br />1 <br />s:3 <br />❑ I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. No part of my homestead is presently situated on said real estate, nor will any of my homestead be <br />situated on said property in the future. However, if I establish a homestead on any part of said real estate <br />during the time the mortgage or deed of trust remains unsatisfied and is a lien upon the real estate, I will have <br />no right to make a designation of homestead in the event of a foreclosure or trustee's sale upon such mortgage <br />or deed of trust. <br />Homestead <br />XX I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. My homestead is located on said real estate, and I understand I have the right to make a designation of <br />homestead in the mortgage or deed of trust. If I waive or disclaim the right to designate my homestead I am <br />waiving rights, that I would otherwise have, to retain my homestead in the event of default upon such <br />mortgage or deed of trust. I hereby waive and disclaim the right to designate my homestead. <br />I have read the paragraph checked above, and I understand the contents of that paragraph. <br />This disclaimer was signed before execution of the mortgage or deed of trust. <br />Dated: FEBRUARY 2, 2001 <br />Mortgagor /Trustor <br />Y L HEID <br />Dated: FEBRUARY 2, 2001 X : LL_ -C(-, ��f�l(� �__ - <br />State of Nebraska Mortgagor /Trustor REBECCA S HEIDELK <br />County of HALL <br />The foregoing instrument was acknowledged before me this 2ND day of FEBRUARY, 2001 <br />by JERRY L HEIDELK AND REBECCA S HEIDELK, HUSBAND AND WIFE AND HUSBAND AND WIFE <br />Is 'IF <br />EW Nolply Sbte of Nebraska <br />JERRY LENTFER <br />W Comm. EV. July 14, 2003 <br />01987 Bankers Systems, Inc., St. Cloud, MN Form DRDH- LAZ -NE 10/10/95 <br />My commis 71 expires: <br />ry Pub <br />(page 1 of 1) <br />r <br />