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<br />.J <br /> <br />. ! <br /> <br />. <br /> <br />- <br /> <br />200512461 <br /> <br />State of Nebraska <br /> <br />Space Above This line For Recording Data <br /> <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br /> <br />Each of the undersigned states as follows: <br />Non-Homestead <br /> <br />[XJ 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 /> <br />Homestead <br /> <br />o 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 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 /> <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 /> <br />L~- Ob <br /> <br />~2~ <br />c-. '. ,~.A'~ <br />Mortgagor /T rustor <br />lOIS NIELSEN <br /> <br />Dated: <br /> <br />Dated: <br /> <br />State of Nebraska <br /> <br />Mortgagor/Trustor <br /> <br />County of Hamilton <br /> <br />The foregoing instrument was acknowledged before me this 9th <br />by lOIS NIELSEN. A Sinllle Person <br /> <br />day of December, 2005 <br /> <br />e __~RENS.JOSEPH <br />. ~.'';' (Sltr'toMMISSION EXPIRES <br />. . August 21, 2006 <br /> <br /><-.-.-. <br /> <br /> <br />~ (e) 1987 Bankors Systoms, Inc., St. Cloud, MN Form DRDH-LAZ-NE 31812001 <br /> <br />(page 1 of I) <br /> <br />~... <br />