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� [Check applicable box(es)) <br /> ❑ AdJustable Rate Rider ❑ Condominium Rider ❑ 1-4 Famiy Rider � <br /> ❑ Graduated Payment Rider ❑ Plenned Unk Devebpment Rider ❑ Biweekly Payment Rider <br /> ❑ Balbon Rider ❑ Rate improvement Rider ❑ Second Home Rider � <br /> � oeher(s) (Speciry� Assignment of Rents Rider �.,� <br /> M�► <br /> 00 <br /> W <br /> i� <br /> BY SIGNING BELOW, Borrower accepts and agrees to the tertns and covenants contained in this Security Instrument and in any <br /> rider(s) enecuted by BoROwer and recorded wkh it. <br /> W itnesses: <br /> \ <br /> � (Seal) <br /> B�«�w•�Thomas J Hili <br /> � �• `�''C� (Seaq <br /> Borrowsr � et Hill <br /> (Seal) <br /> eo��ow.� <br /> (Seal) <br /> Borrowsr <br /> [8pacs Bsiow This Line For Acknowlsdgmsnt] <br /> STATE OF Nebraska <br /> � ss: <br /> COUNTY OF Hall � <br /> I, Sherri O'C8118gh811 , a Notary Public in and for said county and state, do hereby <br /> cerciry cnac Thomas J Hill and Janet S Hill husband and wife ' <br /> personally eppeared before me and is (are) known to me to be the person(s) who, being infom�ed 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 /> is, hsr, t sir <br /> and that t11@y eocecuted said instrum�t for the purposes an uses t in set forth. <br /> (hs, sh�, thsy) <br /> Witness my hand and official seal this 15th day of December . 1999 . <br /> nny comm�sswr, ��res: September 28, 2003 <br /> GENERAL NOTARY-State ot Nebnska �� <br /> I'I 5HERRI L.O'CALLAGHAN �� <br /> My Comm.Enp.5ept.28,zoo3 Sherri O'C8118Qh8 <br /> This instrument was prepar <br /> Form 3028 9/BO <br /> F7029.LMO(10/BB) Paps 5 of 5 <br />