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[Check applicable box(es)] �� ���� ?� <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] <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 /> (Seal) <br /> wer DICK B. WIL O <br /> , <br /> �� ��/ (Seal) <br /> eorrower SALLY J ILCOX <br /> (Seal) <br /> Borrower <br /> (Seal) <br /> Borrower <br /> [Space 8elow This Line For Acknowledgment] <br /> STATE OF Nebraska <br /> � ss: <br /> COUNTY OF Hall <br /> I, JON A. HEATH , a Notary Public in and for said county and state, do hereby <br /> certiiy that DICK B. WILCOX and SALLY J. WILCOX , Husband and Wife as Joint Tenants with Right of <br /> Surivorship <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 theV executed said instrument for the purposes an� uses t�ierem set forth. <br /> (he, she, they) <br /> Witness my hand and official seal this 1 St day of OCtOber 1999 <br /> My Commission Expires: JAN. 9, 2003 <br /> sen� <br /> J A. H <br /> This instrument was prepared �pp�NOTARY Sq10 d Neb� <br /> .ION A.HEATH <br /> My Canm.Faq�.J�.!.20� <br /> Form 3028 9/90 <br /> F1029.LMG (6/99) Page 5 of 5 <br /> y <br />