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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 />200004842 <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 to 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 />I, <br />certify that DENNIS MILL <br />Z'X"� (Seal) <br />Borrower NNIS MILLER <br />(Seal) <br />S <br />Borrower AYLE MILL <br />Borrower <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />i SS: <br />(Seal) <br />(Seal) <br />a Notary Public In and for said county and state, do hereby <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 />( Is, her, air <br />and that they executed said Instrument for the purposes an uses � l%ln set forth. <br />(he, she, they) <br />Witness my hand and official seal this 5th day of June 2000 <br />My Commission Expires: <br />Clh'I R. r. { <br />y <br />j <br />This Instrument was prepared by: <br />�XXJ L� X SEAL <br />Form 302E 9/90 <br />F1029.LM0 (10/99) Page 5 of 5 <br />