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, � . <br /> . t'� ti - ' <br /> � [Check applicable box(es)] tJ V` 1(`�2493 <br /> ❑ Adjustable Rate Rider ❑ Condominium Rider Q 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] � <br /> l' <br /> � � <br /> . <br /> �O <br /> �� � <br /> '�w � <br /> v1 � <br /> � <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 /> I <br /> � (Seal) <br /> BOfOWBf DAVID H. BOHM <br /> (Sea�) <br /> B�«�WB ULIA A. BO M <br /> eo«oWa� <br /> (Sea�) <br /> (Sea�) <br /> Borrower <br /> [Space Below This Line For Acknowledgment� <br /> STATE OF Nebraska <br /> � ss: <br /> COUNTY OF Buffalo <br /> I, Kimberlv D. Enylund , a Notary Pubiic in and for said county and state, do hereby <br /> certiry tnat DAVID H. BOHM and JULIA A. BOHM , 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 acknowiedged said instrument to be their , free and voluntary act and deed <br /> and that they executed said instrument for the purposes an���uses t�e�ein set forth. <br /> �ne, gna, tney) <br /> Witness my hand and official seal this 24th day of February 1999 <br /> My Commission Expires: 7/17/99 j <br /> SEAL <br /> b <br /> This instrument was prepared by: <br /> ���-State oi NeDraska <br /> CiARGAN <br /> ���D,�hrro 19,1999 <br /> Form 3028 9/90 � <br /> F1029.LMO (1/99) Page 5 of 5 <br />