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' ` 2� 1 ��384� . � � , , . • THE NQRTHERLY FIFTY F�UR�54)FEET OF L�T SI�C�6}AND THE N�RTHEI�LY FIFTY F4iJR (54) FEET�F L�T SEVEI�i�7�IIV BLU�K SIX{6}RUSSEL VVHEELER'S ADDITIQN,T�THE CITY �F G RAND ISLAN�,HALL C�U NTY,NEBRASI{A. Pr�ar instrument reference: Recorded on AiJGUST 23, 2U�4 in INSTRUMENT N�. ��UD4Q$3Z5,of the �ffi�ial ReCords of HALL CQUNTY,IwEBRASKA If my represenl:ations in Section 1,Barrower Repres�nta�ions, cantinue ta be�rue in al� material respects,then this Ham� Affordab�e Modification Agreement �"Agreement"} will, as set forth in Section 3, amend and ` supplement �1} the Mor�gage ❑n the Property, and �2} the Note secured by the Mortgage. The M�rtgage and Note together, as they may previously hawe be�n amended, are referred to a.s the "Loan Documents.'� Capitalized�erms used in this Agreemen�and nofi defined ha�e the meaning given�o them in Loan Documen�s. I understand that after I sign and return two capies nf this Agreement ta the Lender,the Lender wi�l send me a signed copy nf this Agreement.This Agreement will not take effect unless the preconditions set farth in Section Z har�e been satisfied. 1. Borrower Representations. � I certify,repres�nt to Lender and agree: A. I am experiencing a financial hardship, and as a resul�, �i} I am in default under th� Loan Documents, and tii} I do not l�ave sufficient �ncome or access to sufficient�iyuid ass�#s to make the monthly martgage payments now�r in the near future; B. I cer�ify the Property �s not condemned and �s not�acant without the intent to either re-occupy or rent; C. There has been no impermissible change in the ownership of the Property since I signed the Loan , Documents; D. �ha�e proWided documentation for all incame that I recei�e tand I understand that I arn not requ�red to d�sc�ose child suppar� flr alimnny un�ess I chose to rely on such incame when requesting fo qua�ify fo�the Hom�Aff�rdable 1Vlodification Program�"Program"}}; E. i.Jnder penalty of perj ury, all do�uments and infarmat�on I ha�e pro�ided to Lender in connection with this Agreemenf, including the documents and information regarding my eiigibility for the Pragram,are true and correct; F, rf Lender requires me to�btain credit counseiing in connection with the Program,I vviit dn so;and, G. � have made or will make a�l payments required within this modification process. 2. Acknowledgements and Precanditions to Modifi�ation. I understand and acknowledge that: A. If prior to the Mvdification Effec�i�e Date as set for~th in Sec�ion 3 the Lender determines tha� my representations in 5ection 1 are no longer true and carrect, the Laan Documents will not be modified and this Agr��m�nt wili terminate.In th�s e�ent,the Lender vrrill ha�e all af the rights and remedies pro�ided b�r the Lnan Documen�s;and, tye�ls Fargo Custarn Home Affardable Nludification Agreement-11lan-G5E 1004Zq I g_329 '��8;��fl� Page 2