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<br />200601901 <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 /> <br />Non-Homestead <br /> <br />00 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 />Dated: <br /> <br />~4C4.- J .20CJh <br /> <br /> <br />Dated: <br /> <br />~-cA ;;? ,2YX <br /> <br />Mortgagor/Trustor <br />J RY SIMONS9N _ <br />"-"DL-~~.:s;~ <br />ortgagor /T rustor <br />BARBARA SIMONSON <br /> <br />State of Nebraska <br />County of MERRICK <br /> <br />The foregoing instrument was acknowledged before me this 2ND <br />by JERRY SIMONSON: BARBARA SIMONSON. AS HUSBAND AND WIFE <br /> <br />day of MARCH. 2006 <br /> <br />(Seal) <br />"[" ~,:~fi:' --'-- KEVIN R. SMALL <br />t.{"~:~";:l.i MY COMMISSION EXPIRES ] <br />': \~OT"RY" - <br />~"{1i!~f~~V ___~_~~!1, ~ _ <br /> <br />~.,',...,,,. <br /> <br />My commission expires: '5 w :;J J -' 0 8 <br /> <br />'71 (J ^-" _ ' ~ Yl .lAAt.11 <br />Notary Public - <br /> <br />~ @ 1987 Bankers Systems, Inc., St. Cloud, MN Form DROH-LAZ-NE 3/B/2001 <br /> <br />(page 1 of 1) <br />