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2 <br />.ate <br />�1v Q 2Y m n1� <br />"j Zrk <br />iT1 � <br />t 7'1 <br />C7 <br />M U) <br />State of Nebraska Space Above This Line For Rec( <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br />Each of the undersigned states as follows: <br />Non- Homestead <br />ciD o o <br />rTi <br />O <br />O -n O C <br />-� <br />..�./ n Co F­4 <br />Z3 r Z7 <br />r- n ►—` <br />x <br />Cil � I U1 <br />Cn co <br />N <br />>rding Data <br />d <br />,L& I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. No part of my homestead is presently situated on said real estate, nor will any of my homestead be <br />situated on said property in the future. However, if I establish a homestead on any part of said real estate <br />during the time the mortgage or deed of trust remains unsatisfied and is a lien upon the real estate, I will have <br />no right to make a designation of homestead in the event of a foreclosure or trustee's sale upon such mortgage <br />or deed of trust. <br />Homestead <br />❑ I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. My homestead is located on said real estate, and I understand I have the right to make a designation of <br />homestead in the mortgage or deed of trust. If I waive or disclaim the right to designate my homestead I am <br />waiving rights, that I would otherwise have, to retain my homestead in the event of default upon such <br />mortgage or deed of trust. I hereby waive and disclaim the right to designate my homestead. <br />I have read the paragraph checked above, and I understand the contents of that paragraph. <br />This disclaimer was signed before execution of the mortgage or deed of trust. <br />Dated: DECEMBER 19, 2000 X ✓ <br />Mortgagor /Trustor <br />Dated: DEC iNEER 19, 2000 V; Ulm Q_C? cam. '1� 0 <br />State of Nebraska Mortgagor /Trustor <br />REBECCA S. HEIDELK <br />County ofMERRICK <br />The foregoing instrument was acknowledged before me this 19TH day of DECEMBER, 2000 <br />by JERRY L. HEIDELK AND REBECCA S. HEIDELK AS HUSBAND AND WIFE AND AS HUSBAND <br />(Seal) <br />My commission s: <br />GENERAL NoTAIty•State of Nebraska <br />JERRY LENTFER L_ �, <br />My Comm. Exp. July 14, 2003 N o t I c <br />© 1987 Bankers Systems, Inc., St. Cloud, MN Form DRDH- LAZ -NE 10/10/95 (page 1 Of 1) <br />