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[Check applicabie box(es)] 9 9 1 0 v �+ �� <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 /> ❑X Other(s) [Specify] ASSIGNMENT OF RENTS RIDER <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 /> � ��'Z—C- �L./ Seal <br /> ( ) <br /> Borrower SUSAN E BURCH <br /> G%�� � <br /> (Seal) <br /> Bo��oWe� EA B RCH <br /> (Seal) <br /> eorrower <br /> (Seal) <br /> Borrower <br /> �Space Below This Line For AcknowledgmentJ <br /> STATE OF NEBRASKA <br /> COUNTY OF HALL � ss: <br /> I, WILLIAM L. MCLELLAN , a Notary Public in and for said county and state, do hereby <br /> certify that SUSAN E BURCH AND DEAN L BURCH . WIFE AND HUSBAND <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 /> �n�s, na�, tna��� <br /> and that they executed said instrument for the purposes and uses therein set forth. <br /> �ne, sne, tney� <br /> Witness my hand and official seal this 3r day of Se tember 1999 <br /> My Commission Expires: AUGUST 12, 00 , �FN <br /> `,:� �: ERq�NO — - <br /> w%r� jA'�rs SEA� <br /> �y�pn,,�p(.�I�NPd�ds LLIAM L. McLELL N <br /> T h i s i n s t r u m e n t w a s p r e p a r e d b y: q p �( �d <br /> k f2��� <br /> Form 3028 9/90 <br /> F1029.LMG (6/99) Page 5 of 5 <br /> 7746 <br /> 6.�.,,,,,,,.. <br />