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State of Nebraska <br />20041240.z <br />Space Above This Line For Recording Data <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br />Each of the undersigned states as follows: <br />Non - Homestead <br />® I intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. No part of my homestead is presently situated on said real estate, nor will any of my homestead be <br />situated on said property in the future. However, if I establish a homestead on any part of said real estate <br />during the time the mortgage or deed of trust remains unsatisfied and is a lien upon the real estate, I will have <br />no right to make a designation of homestead in the event of a foreclosure or trustee's sale upon such mortgage <br />or deed of trust. <br />Homestead <br />❑ 1 intend to grant a security interest in real property legally described on the attached mortgage or deed of <br />trust. My homestead is located on said real estate, and I understand I have the right to make a designation of <br />homestead in the mortgage or deed of trust. If I waive or disclaim the right to designate my homestead I am <br />waiving rights, that I would otherwise have, to retain my homestead in the event of default upon such <br />mortgage or deed of trust. I hereby waive and disclaim the right to designate my homestead. <br />I have read the paragraph checked above, and I understand the contents of that paragraph. <br />This disclaimer was signed before execution of the mortgage or deed of trust. <br />Dated: 1 2 �- 3 4 o v � <br />Dated: l 2 - ;- 3 - � " 0 <br />State of Nebraska <br />JOLYNN NIEDFELT <br />County of HALL <br />The foregoing instrument was acknowledged before me this l-3 day of <br />by BARRY W. NIEDFELT• JOLYNN NIEDFELT Husband and Wife <br />GENERAL NOTARY- State of Nebraska M commission expires: 02.20.200,6 <br />(Seal) THOMAS J. CORKLE y <br />My Comm. Exp. Feb. 20, 2006 D ., <br />Notary PuVic <br />THOMAS J CORKLE <br />�e © 1987 Bankers Systems, Inc., St, Cloud, MN Form DRDH- LAZ -NE 3/8/2001 <br />(Page 1 of 1) <br />J' <br />