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V 200306839 <br />State of Nebraska <br />n <br />S <br />M <br />n <br />x <br />;0 <br />EN <br />n <br />m <br />�I <br />J <br />V 200306839 <br />State of Nebraska <br />n <br />S <br />M <br />n <br />x <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 />❑ I 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 1 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 o eed of rust. <br />Dated: <br />M tgagor /Trustor <br />Dated <br />State of Nebraska Mortgagor /Trustor <br />County of MERRICK <br />The foregoing instrument was acknowledged before me this 29TH day of MAY, 2003 , <br />by LEON STANCZYK, A SINGLE PERSON <br />LERRl. NOTARY -State Nebraska <br />JERRY LENT FER <br />*Comm. EV. Jury 14, 2003 <br />©1987 Bankers Systems, Inc., St. Cloud, MN Form DRDH- LAZ -NE 3/8/2001 <br />a <br />V <br />.a <br />�1 <br />My commiss,on expires: _2:�; <br />otary ublic <br />(Page 1 of 1) <br />I <br />;0 <br />EN <br />n <br />m <br />C <br />to <br />•� <br />:J <br />n (-n <br />ni <br />D <br />X <br />�.a <br />O -� <br />C� <br />; <br />= <br />Vs <br />.� <br />z <br />T <br />c <br />, <br />... <br />C-) <br />o ° <br />'*1 <br />O <br />C D <br />- w <br />C-) <br />(� <br />rn <br />z c <br />C: <br />rTi <br />7K <br />CID <br />3 <br />s <br />V) <br />C.0 <br />r-" <br />z <br />0 <br />Space Above This Line <br />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 />❑ I 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 1 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 o eed of rust. <br />Dated: <br />M tgagor /Trustor <br />Dated <br />State of Nebraska Mortgagor /Trustor <br />County of MERRICK <br />The foregoing instrument was acknowledged before me this 29TH day of MAY, 2003 , <br />by LEON STANCZYK, A SINGLE PERSON <br />LERRl. NOTARY -State Nebraska <br />JERRY LENT FER <br />*Comm. EV. Jury 14, 2003 <br />©1987 Bankers Systems, Inc., St. Cloud, MN Form DRDH- LAZ -NE 3/8/2001 <br />a <br />V <br />.a <br />�1 <br />My commiss,on expires: _2:�; <br />otary ublic <br />(Page 1 of 1) <br />I <br />