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[Check applicable box(es)] <br />?00005'784 <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 />0 Other(s) [Specify] Assignment of 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 />(Seal) <br />orrower Donald D Penner <br />)""z (Seal) <br />7OWef Janet D Penner <br />(Seal) <br />Borrower <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 Janet D Penner , 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 h free and voluntary act and deed <br />and that he executed said instrument for the purposes an(d uses' therein set forth. <br />(he, she, they) <br />Witness my hand and official seal this 17th day of July 2000 <br />My Commissio Ex s <br />GE H'J1 1/AM �Sta160 <br />SEAL <br />Exc MC1El�q�dskd William L Mcl-ellfin <br />This instrument was prepared by: <br />Form 3028 9/90 <br />F1029.LMG (10/99) Page 5 of 5 <br />