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BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security <br />Instrument and in any Rider executed by Borrower and recorded with it. <br />Witnesses: <br />STATE OF NEBRASKA, <br />RE- RECORDED 201700549 <br />Brent C Kulhavy <br />j lif �� <br />Jasm ne Urbanski <br />Loan Origination Company & NMLS Id: Charter West Bank - 466077 <br />Loan Originator & NMLS Id.: Amy L Otto - 491143 <br />NEBRASKA- Single Family - Fannie Mae /Freddie Mac UNIFORM INSTRUMENT <br />Form 30281/01 <br />Laser Forms Inc. (800) 446 -3555 <br />LFI #FNMA3028 -MERS 9/11 Page 13 of 13 <br />/ <br />2 01608453 <br />(Seal) <br />- Borrower <br />(Seal) <br />- Borrower <br />(Seal) <br />- Borrower <br />(Seal) <br />- Borrower <br />[Space Below This Line For Acknowledgment] <br />Hall County ss: <br />On this 16 th day of December, 2016 , before me, the undersigned, a Notary Public <br />duly commissioned and qualified for said county, personally came <br />Brent C Kulhavy A Single Person AND Jasmine A Urbanski A Single Person <br />to me known to be the identical person(s) whose name(s) are subscribed to the foregoing instrument and <br />acknowledged the execution thereof to be his/her /their voluntary act and deed. <br />Witness my hand and notarial seal at Grand island, NE <br />in said county, the date aforesaid. <br />My Commission expires: September 27, 2017 <br />A144 X11 <br />. Ott <br />GENERA. NOTARY -State of Nebraska <br />AMY L OTTO <br />My Comm. Exp. Sept. 27. 2017 <br />-Notary Public <br />