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[Check applicable box(es)] 9 9 112 0 71 <br /> ❑ Adjustable Rate Rider ❑ Condominium Rider ❑ 1-4 Family Rider <br /> ❑ Graduated Payment Rider ❑ Planned Unit Development Rider ❑ Biweekly Payment Rider <br /> Q 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 /> \ <br /> G�� <br /> (Seal) <br /> BOfOWBf ORGE H. WASSINGER, JR. <br /> . <br /> V (.�l�.J (Seaq <br /> eo«oWe� DIANE J. WASSINGER <br /> (Seal) <br /> eo«oWe� <br /> (Seal) <br /> eorrower <br /> [3pace Below This Line For Acknowledgment] <br /> STATE OF NEBRASKA <br /> � ss: <br /> COUNTY OF HALL <br /> I, l �.i./L�SZ � 4 ' 1l�-�� 9..1� , a Notary Public in and for said county and state, do hereby <br /> certify that GEORGE H WASSINGER JR. AND DIANE J. WASSINGER 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 /> ( is, ner, t air <br /> and that they executed said instrument for the purposes an� uses t e ein set forth. <br /> �na, Sna, �ney> <br /> Witness my hand and official seal this 20th day of December 1999 <br /> My Commission Expires: <br /> —� <br /> �—�"'C—�S��,j i SEAL <br /> This instrument was prepared by: <br /> GEPaERAI NOTARY-State oi tde6�ask° <br /> ! CURIE R.MINCER <br /> �►'�My Comm.Exp.May 25,2002 <br /> Form 3028 B/BO <br /> F1029.LM0 (10/99) Page 5 of 5 <br />