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[Check applicable box(es)] 9 9 110 7 2 5 <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 /> eorrower ROb@I't E. BUC�C <br /> �,�,rn�� � ��,(A� � (Seal) <br /> BOffOWef Dawnita K. Buck <br /> (Seal) <br /> Borrower <br /> (Seal) <br /> Borrower <br /> [Space Below This Line For Acknowledgment] <br /> STATE OF Nebraska <br /> � ss: <br /> COUNTY OF Hall <br /> I, , a Notary Public in and for said county and state, do hereby <br /> ceniiy that Robert E. Buck and Dawnita K. Buck , husband and wife <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 /> and that thev executed said instrument for the purposes an���uses t�ierein set forth. <br /> (he, she, they) <br /> Witness my hand and official seal this 29th day of OCtOber 1999 <br /> My Commission Expires: . �`�:... <br /> �ERAL NOTARY•State of Nebraska <br /> MICHAEL L OpRMAN SEAL <br /> �Y Comm.Exp.Oct 14�2000 <br /> This instrument was prepared by: <br /> UNION TITLE COMPANY <br /> 6801 EAST 0 STREET <br /> LINCOLN NE 68510 ' <br /> Form 3028 9/90 <br /> F�029.LMG (6/99) Page 5 of 5 <br />