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[Check applicable box(es)] <br />❑ Adjustable Rate Rider <br />❑ Graduated Payment Rider <br />© Balloon Rider <br />❑ Condominium Rider <br />❑ Planned Unit Development Rider <br />❑ Rate Improvement Rider <br />❑ Other(s) [Specify] <br />200004377 <br />❑ 1 -4 Family Rider <br />❑ Biweekly Payment Rider <br />❑ Second Home Rider <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security Instrument and in any <br />rider(s) executed by Borrower and recorded with it. <br />Witnesses: <br />STATE OF NEBRASKA <br />COUNTY OF, HALL <br />1, — <br />certify that <br />DC't11q-;d(Seal) <br />Borrower DANIEL R. ARNER <br />orrower A . GARNER (Seal) <br />(Seal) <br />Borrower <br />(Seal) <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />i ss: <br />it�� r���%t°!�✓- a Notary Public in and for said county and state, do hereby <br />AND AMY M. GARNER . HUSBAND AND WIFE <br />personally appeared before me and is (are) known to me to be the person(s) who, being informed of the contents of the foregoing <br />instrument, have executed same, and acknowledged said instrument to be their , free and voluntary act and deed <br />and that they executed said instrument for the purposes A uses tMeMein set forth. <br />(he, she, they) <br />Witness my hand and official seal this 30th day of May ,(f 2000 <br />My Commission Expires: <br />gaggGENERAL f Nebraska � � /, � 7 <br />DERMEIER / This instrument was prepare 8, 2003 <br />Y� A<-1z, <br />Form 3028 9/90 <br />F102911M4 (10/99) Page 5 of 5 <br />