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Return To: Heritage Bank <br />PO Box 487,110E 9th St <br />Wood River NE 68883 <br />Non - Homestead <br />Designation of Homestead - Disclaimer -NE <br />VMP® Bankers SystemsrM <br />Wolters Kluwer Financial Services © 1987, 2011 <br />r r. <br />CI <br />'TJ <br />C ) <br />co <br />State of Nebraska Space Above This Line For Recording Data <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br />Each of the undersigned states as follows: <br />® I intend to grant a security interest in real property legally described on the attached mortgage <br />or deed of trust. No part of my homestead is presently situated on said real estate, nor will any of <br />my homestead be situated on said property in the future. However, if I establish a homestead on <br />▪ any part of said real estate during the time the mortgage or deed of trust remains unsatisfied and <br />isc is a lien upon the real estate, I will have no right to make a designation of homestead in the event <br />of a foreclosure or trustee's sale upon such mortgage or deed of trust. <br />Homestead <br />r*f ❑ 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 I understand I have the right to <br />n - make a designation of homestead in the mortgage or deed of trust. If I waive or disclaim the right <br />4 ,3, to designate my homestead I am waiving rights, that I would otherwise have, to retain my <br />W f rt homestead in the event of default upon such mortgage or deed of trust. I hereby waive and <br />C disclaim the right to designate my homestead. <br />C"7 <br />H I have read the paragraph checked above, and I understand the contents of that paragraph. <br />VMPC3291NE) (1107).00 <br />DRDH- LAZ -NE 7/1/2011 <br />Page 1 of 2 <br />