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2� 1 ���438 <br /> Health�are Re�ulat�ry U.S. Department af Housing 4NiB�pproval No.25��-�5�5 <br /> nt-- � erat�r and Urban DQ�elopment ��xp. DG13o120�7} <br /> Ag re�me p <br /> �ffi�e vf F�esfdential <br /> Section 232 �are Fa�i�ities <br /> Public reporting burden for this col�ection o�information is esiimated to average 4.5 hours. This includes the time fvr coilect�ng, <br /> reviewing,and reporting the data. The information is being coi�ected to obtain the support[ve doCumentation which must be <br /> submitted t❑HUa fo�apprv�al,and is necessary to ensure that viabie projects are de�elvped and maintained. The�epartment wi11 <br /> use this infarmation#a de#ermine i�prop�rties meet H�D requirements w�th respect to de�elopmen#,opera#ion andlar asset <br /> management,as well as ensuring#h�c�ntinued marketability o�the properties. This agency may nat collect this information,and <br /> you are not required to complete this form,unless it displays a currently valid�MB control number. <br /> Warning:Any person who knowingly presents a false,fc#itiaus,or fraudulent stat�ment or claim in a matter within the jurisdict�on of <br /> the U.S:Department of Housing and�rban❑evelopment is subject ta criminal penaitfes,civil liabi�ity,and administrative sa�nc#ions. <br /> Recording requested by: <br /> Michael I]ecina <br /> I�antor Taylor Ne�son Evatt& Decina P� <br /> 9�1 5th Ave, Su�te 4��� <br /> Seattle, WA 981�4 <br /> After recording return to: <br /> Kevin Muesenfechter <br /> �ffice of Regional �ounsel, Region VII <br /> U.S. I]epartment of Housing and Urban Deve�opment <br /> 4�� S tate Avenue, �ateway Ta Wer II, R��m 51� <br /> I�ansas �ity, I�ansas 6�141 <br /> Pro'ect Name: �ountryHouse of Grand Island <br /> FHA Prn'ect Na.: 1�3-22��1 <br /> Prn��ct Location: Ha�i C�unty,Nebraska <br /> Lender: Lancaster Pollard Mor�gage �ompany, LL� <br /> �ri inal Princi al Amvunt of N�te: �4,13U,U��.4� <br /> Date of Note: September 1, 2�1� <br /> Uri inall endorsed for insurance under Sectian Z3Z ursuant to Sectian 2�3 <br /> Pre�ious versions ohsolete Page 'I form HUD-924SSA-�RCF �Re�. Ofi1��14} <br /> Repraces H U D-9�465-N H L <br />