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[Check applicable box(es)] <br />❑ Adjustable Rate Rider ❑ Condominium Rider ❑ 1 -4 Family Rider <br />❑ Graduated Payment Rider ❑ Planned unit Development Rider ❑ Biweekly Payment Rider <br />❑ Balloon Rider ❑ Rate Improvement Rider ❑ Second Home Rider <br />© Other(s) [specify] Mort. Add. & Assignment of Rents <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 />Borrower <br />Borrower <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />f SS: <br />(Seal) <br />(mil) <br />(Seal) <br />I, Sherri L O'Callaghan , a Notary Public in and for said county and state, do hereby <br />certify that Janis K Garrett an unmarried individual <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 her , free and voluntary act and deed <br />ia, her, t <br />and that she executed said instrument for the purposes A eir uses t�e ein set forth. <br />(he, she, they) <br />Witness my hand and official sea[ this 8th day of June _ 2000 <br />My Commission Expires: I GENERAL NOTARY-State ofNGHA 1� <br />��l SHERRI L. O'CALIAGHAN <br />My Comm. Up. Sept. 28, 2003 �� � <br />This instrument was prepared by: <br />Form 3028 9/90 <br />F1029.1-1410 (10/99) Page 5 of 5 <br />