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[Check applicable box(es)) <br />❑ Adjustable Rate Rider ❑ Condominium Rider <br />❑ Graduated Payment Rider ❑ Planned Unit Development Rider <br />❑ Balloon Rider ❑ Rate Improvement Rider <br />© Other(s) [Specify] Assignment of <br />200005040 <br />❑ 1 -4 Family Rider <br />❑ Biweekly Payment Rider <br />❑ Second Home Rider <br />Rents 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 />r. 4:1Q (Seal) <br />Borrower Scott C Lane <br />(Seal) <br />Borrower Cindra K Lane <br />Borrower <br />(Seal) <br />(Seal) <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />STATE OF Nebraska <br />COUNTY OF Hall ss: <br />I, William L McLellan a Notary Public in and for said county and state, do hereby <br />certify that Scott C Lane and Cindra K Lane , 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 />, r t <br />and that they executed said instrument for the purposes ar (Isusehes , t e eir <br />ein set forth. <br />(he, she, they) <br />Witness my hand and official seal this Qth day of June 2000 <br />My Commission Expires: <br />l vG SEAL <br />e Jl William L McLellan <br />This instrument was prepared by: �'?q�!`��d/ <br />c y <br />P <br />Form 3028 9 /90 <br />F1029.LMO (10/99) Page 5 of 5 <br />