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m <br />�'� -n <br />c <br />e <br />sr1N <br />0 m r <br />•• <br />, J <br />Co <br />00 - <br />Return To: Heritage Bank <br />PO Box 487,110 E 9th St <br />Wood River NE 68883 <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br />Each of the undersigned states as follows: <br />Non - Homestead <br />Designation of Homestead - Disclaimer -NE <br />VMP® Bankers Systems7M <br />Wolters Kluwer Financial Services © 1987, 2011 <br />State of Nebraska Space Above This Line For Recording Data <br />❑ I intend to grant a security interest in real property legally described on the attached mortgage <br />O or deed of trust. No part of my homestead is presently situated on said real estate, nor will any of <br />vac my homestead be situated on said property in the future. However, if I establish a homestead on <br />Sus <br />any part of said real estate during the time the mortgage or deed of trust remains unsatisfied and <br />71:x• is a lien upon the real estate, I will have no right to make a designation of homestead in the event <br />` C " ) of a foreclosure or trustee's sale upon such mortgage or deed of trust. <br />A. Homestead <br />\-R r <br />M M I intend to grant a security interest in real property legally described on the attached mortgage <br />or deed of trust. My homestead is located on said real estate, and l understand I have the right to <br />t C make a designation of homestead in the mortgage or deed of trust. If I waive or disclaim the right <br />n to designate my homestead I am waiving rights, that I would otherwise have, to retain my <br />rn homestead in the event of default upon such mortgage or deed of trust. 1 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 />c.^ <br />VMPC329(NEI (1107).00 <br />DRDH- LAZ -NE 7/1/2011 <br />Page 1 of 2 <br />