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202105828 <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in <br />this Security Instrument and in any Rider executed by Borrower and recorded with it. <br />Blake W Grossart <br />(Seal) <br />-Borrower <br />(Seal) <br />-Borrower <br />(Seal) <br />-Borrower <br />(Seal) <br />-Borrower <br />[Space Below This Line For Acknowledgment] <br />STATE OF Nebraska Hall County ss: <br />On this 9 th day of July, 2021 , before me, the undersigned, a Notary Public <br />duly commissioned and qualified for said county, personally came <br />Blake W Grossart A Single Person <br />to me known to be the identical person(s) whose name(s) are subscribed to the foregoing instrument <br />and acknowledged the execution thereof to be his/her/their voluntary act and deed. <br />Witness my hand and notarial seal at <br />in said county, the date aforesaid. <br />My Commission expires: September 27. 2021 (PA. <br />Amyl Ott <br />Prepared By: <br />- Notary Public <br />ti GENERAL NOTARY - State of Nebraska <br />AMY L. OTTO <br />ESOZ? My Comm. Exp. Sept. 27, 2021 <br />Loan Origination Company & NMLS Id: Charter West Bank - 466077 <br />Loan Originator & NMLS Id.: Amy L Otto - 491143 <br />NEBRASKA - Single Family - FHA Security Instrument - MERS <br />FORM 3028 9/14 <br />Laser Forms Inc. #FHA3028MERS 6/15 Page 14 of 14 <br />IIH.�.�i Ff+ <br />ell{ <br />i <br />