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[Check applicable box(es)] <br />200010075 <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] Assign of Rents & Mort. Ins. <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 />STATE OF Nebraska <br />COUNTY OF Hall <br />(Seal) <br />Borrower Randall R Faaborg <br />6/b • (Seal) <br />Borrower, a herfne L <br />Borrower <br />Borrower <br />[Space Below This Line For Acknowledgment] <br />i SS: <br />(Seal) <br />(Seal) <br />I, Sherri L O'Callaghan , a Notary Public in and for said county and state, do hereby <br />certify that Randall R Faaborg and Catherine L Faaborg , 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 their free and voluntary act and deed <br />( is, her, t eir <br />and that they executed said instrument for the purposes an uses t Vein set forth. <br />(he, she, they) <br />Witness my hand and official seal this 7th day of December 2000 <br />My Commission Expires: <br />This instrument was prepared by: <br />GENERAL NOTARY•St318 of Nebraska <br />SHERRI L. O'CALLAGHAN <br />�m My Comm. Exp. Sept. 28, 2003" <br />iL <br />Form 3028 9/90 <br />F1029.1-MG (10/99) Page 5 of 5 <br />