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[Check applicable box(es)] 9 9 112 0 6 8 <br /> ❑ AdJustable Rate Rider ❑ Condominium Rider ❑ 1-4 Famiy Rider <br /> ❑ Graduated Peym�t Rider ❑ Planned UnR Devebpment Rider ❑ Biweekly Payment Rider <br /> ❑ Balbon Rider ❑ Rate Improvernent Rider ❑ Second Home Rider <br /> � aher(s) [speciry� ASSIGNMENT OF RENTS & MORT. ADD. <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 k. <br /> Wknesses: <br /> �� <br /> ���) <br /> B RUSSELL DAN <br /> � � C��i �c1�-�/ (Seaq <br /> Borrow�r ERIN E J RDAN <br /> (Seal) <br /> Borrow�r <br /> ���� <br /> Borrowsr <br /> (8pacs Bslow This Line For Acknowlsdpm�nt] <br /> STATE OF NEBRASKA <br /> COUNTY OF HALL � ss: <br /> I, WILLIAM L. McLELLAN , a Notary Public in and for said county and state, do hereby <br /> cert�ty tnet RUSSELL T JORDAN AND ERIN E JORDAN . HUSBAND AND WIFE. <br /> personaly appeared before me and is (ere) known to me to be the person(s) who, being informed of the contents of the foregoing <br /> instn�ment, have executed same, and acknowledged said insWm�t to be their , free and voluntary act and deed <br /> Is, hsr, t sir <br /> and that they executed said instrument for the purposes an uses t � set forth. <br /> (hs, she, thsy) <br /> Witness my hand and official seal this 1 h day of December , 1999 . <br /> My Commission Expires: AUGUST 1 ` 0 �'�'��, _ " <br /> ,,, <br /> ,. ,�, ..�._._�._._ <br /> ` '' �f ql�, - <br /> ��������si�� ILLIAM L. McLE N �� <br /> This instrument was prepared by: �+�O,��c���y <br /> G�,/��l lS�d� <br /> ��a� �d <br /> On� <br /> Form 3028 9/BO <br /> F1029.LM0(10/99) Paps 5 ot 5 <br />