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c � ��(� <br /> j � n z n����! <br /> = D Nv x co <br /> n = � o -�-i � � <br /> � � �1 � � c a p c; <br /> z --� <br /> �„� .%J � G� � o C a �. <br /> � '� p � O '*1 � N <br /> � �y � Z ~ <br /> � <br /> � <�l rn � ^p D o� O � <br /> �! �rn � r D '�1 <br /> � � , W � � � .. <br /> � A � � <br /> F—+ v v <br /> --� (!1 -.� O <br /> State of Nebraska Space Above This Line For Recording Dat� <br /> DIS LAIM � <br /> C ER OF RIGHT TO DESIGNATE HOMESTEAD �' <br /> Each of the undersigned states as follows: 9:� �0 7 9 4 4 <br /> �. c� <br /> Non-Homestead <br /> $$ 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 trus <br /> Dated: 2 1 X r <br /> Mortgagor/Trustor <br /> R D OUC�i <br /> Dated: Julv 28, 1999 X <br /> State of Nebraska Mort r/Trustor <br /> J A. V�C�NER <br /> County ofNAT,T, <br /> The foregoing instrument was acknowledged before me this 28th day of July, 1999 , <br /> by R�N D. CROUCH and JOH[�T A. 4�30NER, AS 'TIIVAN'TS IN CL'�IOIQ <br /> Iseaq My commi ion ex ires: �"�� �� <br /> 6ENERIIL <br /> NOTARY St�te d Nebraska v <br /> I JAME3 E RENNAU Notary Public <br /> M�t Conrn.E�.AprN 4�2� <br /> m 7987 Bankers Systems,Inc.,St.Cloud,MN Form DRDH-LAZ-NE 10/10/95 /page 1 of 1/ <br />