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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 />200006115 <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 in this Security Instrument and in any <br />rider(s) executed by Borrower and recorded with it. <br />Witnesses: <br />c 9 <br />(Seal) <br />Borrower DANIEL R. GARNER <br />ami /t� 4gv�� (Seal) <br />Borrower AM V M. GARNER <br />Borrower <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />STATE OF NEBRASKA <br />SS: <br />COUNTY OF HALL <br />(Seal) <br />(Seal) <br />I, , a Notary Public in and for said county and state, do hereby <br />certify that DANIEL R. GARNER AND AMY M. GARNER 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 />( is, her, t eir <br />and that they executed said instrument for the purposes an uses t e ein set forth. <br />(he, she, they) <br />Witness my hand and official seal this 26th day of June 2000 <br />My Commission Expir <br />GENERAL NOTARY-State of Nebraska <br />��[ JERROD E. LAWRENCE <br />MY Comm. Exp. May 1, 2004 <br />This instrument was prepared by: <br />Form 3028 9/90 <br />F1029.1-MG (10 /99) Page 5 of 5 <br />