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. ' ' I 200603641 <br />30. RIDE]h. If checked, the following are applicable to this Security Instrument. The covenants and agreements <br />of each of the riders checked below are incorporated into and supplement and amend the terms of this Security <br />Instrument. <br />Third Party Rider <br />® Leasehold Rider <br />® Other N /A <br />SIGNATURES: By signing below, Trustor agrees to the terms and covenants contained in this Security Instrument <br />and in any attachments. Trustor also acknowledges receipt of a copy of this Security Instrument. on the date stated on <br />page 1. <br />JACK E SAMPLE (Date) <br />L NDA SAMPLE (Date) <br />(Date) <br />(Date) <br />ACKNOWLEDGEMENT: <br />(Individual) <br />STATE of <br />COUNTY of <br />The foregoing instrument was acknowledged before me this <br />QEWO NOTARY - State of Nebraska <br />TAMMY L. ALVARADO <br />M Camm. Fyn Ahtt 13 2009 <br />(Seal) <br />When Recorded, Return To: <br />Wells Fargo Bank, N.A. <br />P. 0. BOX 3155-7 <br />BILLINGS, MT 5910-7 <br />DOCUMENT MANAGEMENT <br />NEBRASKA -DEED OF TRUST <br />EQ1270 (03/2004) <br />(Signature of <br />(Title or Rank) <br />(Date) <br />date) by <br />aisle of person acknowledged). <br />�`'11_�lzltlwzl <br />Taking Acknowledgment) <br />zl , % . <br />(Serial Number, if any) <br />My commission expires: 1-3 Z1662 <br />