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2� 1 ���435 <br /> Se�ur�ty Instrument! U.S. Departm�nt of Housing �MB A�p�o�al No. 25D2-�6�� <br /> Mort a elDeed of Trust and Urban De►�elo�ment �exp. 05��o�zo�7} <br /> g � �ffice of Residen�ial <br /> SeCtlon �3� ���� Facilities <br /> Pub�ic report�ng burden for this colfecti�n of informat�on is estima�ed to a�erage �.5 hours. This includes the time for col�ecting, <br /> reviewing, and reporting the data�. The information is being collected ta obtain the supportive documentation which must be <br /> submitted tv HIJD far appra�al, and is necessary to�nsu�e that�iable projects are de�eloped and marintained. The Department wili <br /> use this intormation #o determins if properties meet HUD requirements with respect to de�e�opment, operatian andlar asset <br /> management, as well as ensu�ing the continued marketability of the properties. This agency may not callect this informatian, and <br /> yau are not required�o cvmpfete this form,unless it d�splays a cutren#ly valid�NiB cantrnl number. <br /> Warning:Any persan who knvwingly presents a fals�,fictitiaus,ar fraudulent sta#ement or claim in a matter within the�u�isdiction of <br /> the U.S.Department af Housing and U�ban Development is subject to criminai penaities,ci�il[iabifity,and administrati�e sanctions. <br /> Recording requested by: <br /> M�chael Decina <br /> Kant�r Tay��r Nelson Evatt& Decina P� <br /> 9�� Fifth Ave, Suit� 4��� <br /> Seatt�e, WA 98�64 <br /> After r�carding return to: <br /> LanCaster Pollard Mortgage �ompany, LL� <br /> �5 East Stat� Street, 16th F1o�r <br /> �o�umbus, �H 43��5 <br /> Attn: Melissa Barwic� <br /> HEALTH�ARE DEED �F TRUST, SECURITY A�REEMENT, <br /> ASSI�NMENT �F RENTS,AND FI�.TURE FILING <br /> �NEBR.ASKA� <br /> FHA Project Number: 1�3-22�51 <br /> Pr�ject Nam�: ��untryHouse �f�rar�d Isla.nd <br /> Previous�ersions obso�ete Pag�'I form H U a-940D�-�R�F �0612��4} <br />