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[Check applicable box(es)] <br />200006268 <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] 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 />,J�OjL�� - (Seal) <br />Borrower Scott A La it <br />c <br />(Seal) <br />borrower ren L Lablt <br />(Seal) <br />Borrower <br />(Seal) <br />Borrower <br />[Space Below This Line For Acknowledgment) <br />STATE OF Nebraska ) <br />} <br />COUNTY OF Hall 1 ss: <br />I, Sherri O'Callaghan , a Notary Public in and for said county and state, do hereby <br />certify that Scott A Labit and Karen L Labit 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 ereln set forth. <br />(he, she, they) <br />Witness my hand and official seal this 2nd day of August 2000 <br />My Commission Expires: September 28, 2003 <br />GENERAL NOTARY -State of NWASI(3 <br />III SHESSI L. O- CALLAGHAN he rAd <br />This instrument was prepare _- <br />My Comm. UP. Sept. 28, 2003 <br />Form 3028 9/90 <br />F1029.LMG (10/99) Page 5 of 5 <br />