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[Check applicable box(es)] V V 110 3 0 3 <br /> ❑ Adjustabie Rate Rider ❑ Condominium Rider ❑ 1-4 Family Rider <br /> ❑ Graduated Payment Rider ❑ Planned Unit Development Rider ❑ Biweekly Payment Rider <br /> ❑ Balioon Rider ❑ Fiate 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 /> W itnesses: <br /> /�,�� <br /> ` i%/ (Seal) <br /> Borrower S MCCOOL <br /> (Seal) <br /> so��oWa� <br /> (Seal) <br /> ao«o W a� <br /> (Seal) <br /> eor�ower <br /> �Space Below This Line For Acknowledgment] <br /> STATE OF NEBRASKA <br /> � ss: <br /> COUNTY OF HALL <br /> I, SHERRI O'CALLAGHAN , a Notary Public in and for said county and state, do hereby <br /> certify that JEFFREY S MCCOOL AN UNMARRIED INDIVIDUAL <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 hIS , free and voluntary act and deed <br /> (h is, her, th eir), <br /> and that he executed said instrument for the purposes antl uses tnerein set forth. <br /> �ne, sna, �nay) <br /> Witness my hand and official seal this 22nd day of October 1999 <br /> My Commission Expires: SEPTEMBER 28, 2003 t �,% <br /> GENERAL NOTARY-State ot Nebr�sw sEA� <br /> I'1 SHERRI L.O'CALLAGH N ERRI 0 CA A <br /> My Comm.E�p.Sept.28.2UU ' <br /> This instrument was prepared by: � <br /> Form 3028 9/90 <br /> F�029.LMG (6/99) Page 5 of 5 <br /> i I <br />