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[Check applicable box(es)] <br />20000863; <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 />& Mortgage Insurance Rider <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security Instrument and In any <br />riders) executed by Borrower and recorded with it. <br />Witnesses: <br />STATE OF Nebraska <br />COUNTY OF Hall <br />x <br />(Seal) <br />Borrower Douglas C ead <br />m(seal) <br />Borrow Je i M Mead <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />i ss: <br />(Seal) <br />(Seal) <br />I, SHERRI L. 0' CALLAGHAN , a Notary Public in and for said county and state, do hereby <br />certify that Douglas C Meadand Jennifer M Mead, 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 />Is, her, t slr <br />and that he executed said instrument for the purposes A uses t gin set forth. <br />(he, she, they) <br />Witness my hand and official seal this 13th day of October 2000 <br />My Commission Expires: <br />GENERAL NOTARY -State of Nebraska <br />SHERRI L. O'CALLAGHAN <br />In My Comm. Exp. Sept. 28, 2003 <br />This instrument was prepared by: <br />Form 3028 9/90 <br />F1029.1-MG (10/99) Page 5 of 5 <br />