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202101374 <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security <br />Instrument and in any Rider executed by Borrower and recorded with it. <br />Witnesses: <br />STATE OF NEBRASKA, <br />Rita L Koros <br />(Seal) <br />-Borrower <br />(Seal) <br />-Borrower <br />(Seal) <br />-Borrower <br />(Seal) <br />-Borrower <br />[Space Below This Line For Acknowledgment] <br />Hall <br />County ss: <br />On this 12 th day of February, 2021 , before me, the undersigned, a Notary Public <br />duly commissioned and qualified for said county, personally came <br />Rita L Koros A Single Person <br />to me known to be the identical person(s) whose name(s) are subscribed to the foregoing instrument and <br />acknowledged the execution thereof to be his/her/their voluntary act and deed. <br />Witness my hand and notarial seal at Grand Island, NE <br />in said county, the date aforesaid. <br />My Commission expires: September 27, 2021 <br />Loan Origination Company & NMLS Id: Charter West Bank - 466077 <br />Loan Originator & NMLS Id.: Amy L Otto - 491143 <br />• <br />c -A) <br />GENERAL NOTARY - State of Nebraska <br />AMY L. OTT O 27,2021 <br />My Comm. Exp.Sept. <br />-Notary Public <br />NEBRASKA - Single Family - Fannie Mae/Freddie Mac UNIFORM <br />INSTRUMENT <br />FORM 3028 1/01 <br />Laser Forms Inc. #FNMA3028-MERS 5/05 Page 13 of 13 <br />1111 j ' ritla <br />IIL <br />