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99 111829 <br /> [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 /> � VA Rider � Other(s) �spec�ry� VA Assumption Rider <br /> BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Security Instrument and in any rider(s) <br /> executed by Borrower and recorded with it. <br /> W itnesses: <br /> � � (Seal) <br /> BOfOWB� Ma P. Ussery <br /> �wv (Seal) <br /> eOfOWef atalia Usser--� <br /> eo«o W a� (Seal) <br /> eo��o W a� (Seal) <br /> [Space Below This Line For Acknowledgment] <br /> STATE OF Nebraska <br /> � ss: <br /> COUNTY OF Hall <br /> �, _ Karolyn Vonderohe , a Notary Public in and for said county and state, do hereby <br /> certify that Marty P. Usserv and Natalia Usserv Husband and Wife As Joint Tenants <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 instrument <br /> have executed same, and acknowledged said instrument to be their , free and voluntary act and deed and that thev <br /> (his, her, their) (he, she, they) <br /> executed said instrument for the purposes and uses therein set forth. <br /> Witness my hand and official seal this 15th day of December 1999 <br /> My Commission Expires: "�`�� a�� � QO'� <br /> GENERAL NOTARY Stale ot Nebraska (Seal) <br /> III KAROIYN VONDEROH <br /> •+ My Comm.Exp. — 1�O� <br /> This instrument was prepared by: <br /> Form 3028 9/90 <br /> F4009.LMa(11/99) Page 5 of 5 <br />