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[Checlr applicable box(es)] �� 1215 2 7 <br /> ❑ Adjustable Rate Rider ❑ Condominium Rider ❑ 1-4 Family Rider <br /> ❑ Graduated Payment Rider ❑ Planned Unit Development Rider <br /> ❑ Balloon Rider ❑ Biweekly Payment Rider <br /> ❑ 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 /> B°��� ef parnell W. Boy n <br /> �.____ _ <br /> ��.^f�11 � <br /> � '� � ��� �Q� (Seal) <br /> Borrower pamela K. Boysen c <br /> sorrower <br /> (Seal) <br /> Borrower <br /> (Seal) <br /> [Space Below This Line For Acknowledgment] <br /> STATE OF Nebraska <br /> � ss: <br /> COUNTY OF Hall <br /> I, �( ��C �� ( `"� ��'P��*-� , a Notary Public in and for said county and state, do hereby <br /> ceniiy that Darnell W. Bovsen and Pamela K Bovsen 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 _ they executed said instrument for the purposes an���uses i�ierein set forth. <br /> (he, she, they) <br /> Witness my hand and official seal this 2nd day of December 1999 <br /> My Commission Expires: � �f,.�/~ <br /> r /�/L�.�'�` � L- (�ic.GC.�`z-- sea� <br /> This instrument was prepared by: <br /> X. GENERALNOTARY-StabdNebrz�. <br /> u��! MtCW4El L OORMnr <br /> (b�nn Oet 14,2006 <br /> Form 3028 9/90 <br /> F1029.LMG (6/99) Page 5 of 5 <br />