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� [Check applicable box(es)] 9 9 11014 9 <br /> ❑ Adjustable Rate Rider ❑ Condominium Rider ❑ 1-4 Family Rider <br /> ❑ Graduated Payment Rider � Planned Unit Development Rider ❑ Biweekly Payment Rider <br /> Q 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 /> r V a ���11 (Seaq <br /> BOfOWBf TAMM JO JOHNSON <br /> (Seal) <br /> so��oWa� <br /> (Seal) <br /> eo��oWe� <br /> (Seal) <br /> ao��oWa� <br /> [Space Below This Line For Acknowledgment� <br /> STATE OF NEBRASKA ) <br /> } ss: <br /> COUNTY OF HALL 1 <br /> I <br /> I, (��YY1�11 (n ,�Pvl Sf.v� , a Notary Public in and for said county and state, do hereby <br /> certify that TAMMY JO JOHNSON , A SINGLE PERSON <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 Her , free and voluntary act and deed <br /> and that Sh@ executed said instrument for the purposes an�a�uses t�ierr�ein set forth. <br /> (he, she, they) <br /> Witness my hand and official seal this 1St day of OCtOb@I' 1999 <br /> My Commission Expires: <br /> Y ' � SEAL <br /> This instrument was prepared by: <br /> ��� GENERAI NOIARY•Sfate of Nebraska <br /> CARMEN M.JENSEN <br /> My Comm.Exp,Aug.5,2000 <br /> ; <br /> Form 3028 9/90 <br /> F1029.LMG (8/99) � I r Page 5 of 5 <br /> J <br /> � <br />