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<br />200611359 <br /> <br />State of Nebraska <br /> <br />Space Above This Line For Recording Data <br /> <br />DESIGNATION OF HOMESTEAD <br /> <br />I have elected to make a designation of homestead as provided for in the Fann Homestead Protection Act. <br />The designated homestead is located on real estate which is encumbered by the attached mortgage or deed of <br />trust. The legal description of such real estate, which is designated as homestead, is as follows: SEE A TT ACHED <br />ADDENDUM" A" <br /> <br />I reside in a dwelling house located upon the homestead. All appurtenances to such dwelling, an adequate <br />supply of potable water and an adequate system of sewage disposal exist upon the homestead. Both the water supply <br />and the sewage disposal system are located entirely upon the homestead and neither will require access to or an <br />easement across any part of the nondesignated agricultural land encumbered by such mortgage or trust deed. Both <br />the homestead and the nonhomestcad real estate encumbered by such mortgage or trust deed have existing legal <br />access to a public roadway. All structures and other improvements situated on the portion of the homestead <br />encumbered by such mortgage or trust deed are listed below. These structures and improvements are within the <br />homestead boundary and do not encroach upon any of the nonhomestead real estate encumbered by such mortgage <br />or trust deed. <br /> <br />List 5stru cs ~;mprovements situated on the portion of the homestead encumbered: <br /> <br />This Designation shall be made a part of the attac ed mortgage or deed of trust. <br /> <br />/ <br />/ <br /> <br />."'-1 I <br />) /! <br />' ,',:.,,'''.' ",/ . J/":'> <br />.>';'i4{Adtd'~ <br />ONNA J SCHMIDT <br /> <br /> <br />- Jtffu~ "'JJ~d Iztf2h,1 <br />Mortgagorffrustor N AN L SCHMIDT Date P <br /> <br /> <br />Mortgagorffrustor <br /> <br />Date <br /> <br />Mortgagorffrustor <br /> <br />Date <br /> <br />Mortgagor/Trustor <br /> <br />Date <br /> <br />Mortgagorffrustor <br /> <br />Date <br /> <br />State of Nebraska I I <br />County of ti C{ I ~ <br />The foregoing instrument was acknowledged before me this / .2~ir of Dec. <-~{} tJ /,p <br />by ,b /!)'-Y'v'/\ '^-., s: .::scY\ Y\^-- ((A f-- ""t- tJ tr Y\I\v VI L- ~ f;;:,c..-h VVL~ t:~ 'i- <br />My commission expires: q - ( I....... tJ '"I <br /> <br />(Seal) <br /> <br />'hi tl /(1)/(> ~ ~1' ~.Jc v'~~ <br />I [Notary' ublic <br /> <br />~, GENERAL NOTARY. State of Nebraska <br />~~! MARGIE J. ORMSBY <br />-'~ ".K My Comrn. Exp. Sept. 11. 2007 <br /> <br />(page 1 of I) <br /> <br />Loan Number: 1000113269 <br />