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[Check applicable box(es)] ❑ Adjustable Rate Rider ❑ Graduated Payment Rider ❑ Balloon Rider ® VA Rider ❑ Condominium Rider ❑ Planned Unit Development Rider ❑ Rate Improvement Rider ❑ Other(s) [Specify] BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security Instrument and in any rider(s) executed by Borrower and recorded with it. Witnesses: STATE OF Nebraska COUNTY OF Hall 0, J- ' v 1 (Seal) Borrower David E. Haynes d(Seal) Bor L n A. Haynes w er Borrower [Space Below This Line For Acknowledgment] f ss: (Seal) (Seal) I, Sherri L O'Callaghan , a Notary Public in and for said county and state, do hereby certify that David E. Haynes and Lynn A. Haynes , husband and wife personally appeared before me and is (are) known to me to be the person(s) who, being informed of the contents of the foregoing instrument have executed same, and acknowledged said instrument to be their , free and voluntary act and deed and that they (his, her, their) (he, she, they) executed said instrument for the purposes and uses therein set forth. Witness my hand and official seal this 3rd day of My Commission Expires: NERAL NOTARY•Stata of Nrnrasta 4—" SHERRI L. O'CALLAGHAN My Comm. Exp. Sept. 28, 2003 This instrument was prepared by: F4009.1-MG (6/00) Page 5 of 5 2000 u (Seal) Form 3028 9/90 200009644 ❑ 1 -4 Family Rider ❑ Biweekly Payment Rider ❑ Second Home Rider BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security Instrument and in any rider(s) executed by Borrower and recorded with it. Witnesses: STATE OF Nebraska COUNTY OF Hall 0, J- ' v 1 (Seal) Borrower David E. Haynes d(Seal) Bor L n A. Haynes w er Borrower [Space Below This Line For Acknowledgment] f ss: (Seal) (Seal) I, Sherri L O'Callaghan , a Notary Public in and for said county and state, do hereby certify that David E. Haynes and Lynn A. Haynes , husband and wife personally appeared before me and is (are) known to me to be the person(s) who, being informed of the contents of the foregoing instrument have executed same, and acknowledged said instrument to be their , free and voluntary act and deed and that they (his, her, their) (he, she, they) executed said instrument for the purposes and uses therein set forth. Witness my hand and official seal this 3rd day of My Commission Expires: NERAL NOTARY•Stata of Nrnrasta 4—" SHERRI L. O'CALLAGHAN My Comm. Exp. Sept. 28, 2003 This instrument was prepared by: F4009.1-MG (6/00) Page 5 of 5 2000 u (Seal) Form 3028 9/90