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[Check applicable box(es)] <br />200005'718 <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 />❑X Other(s) [Specify] Mortgage Addendum <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 />X% (Seal) <br />Borrower rid zi a <br />(Seal) <br />Jo-- LGeneva Ru4cka <br />Borrower <br />Borrower <br />[Space Below This Line For Acknowledgmentl <br />STATE OF Nebraska <br />ss: <br />COUNTY OF Hall <br />(Seal) <br />(Seal) <br />I, Sherri L O'Callaghan , a Notary Public in and for said county and state, do hereby <br />certify that Geneva Ruzicka 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 his , free and voluntary act and deed <br />(his, her, t eir) <br />and that he executed said instrument for the purposes and uses t erein set forth. <br />(he, she, they) <br />Witness my hand and official seal this 14th day of July /2 2000 <br />My Commission Expires: September 28, 2004 <br />This instrument was prepared <br />GENERAL NOTARY -State of— Neprask <br />to SHERRI L. O'CALLAGHAI <br />My Comm. Exp. Sept. 28, 2003 <br />. <br />ghan <br />I <br />Form 3028 9/90 <br />F1029.LMG (10/99) Page 5 of 5 <br />