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<br />200703566 <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 />!:xl 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 />D 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 />5-/ (J 1 <br /> <br /> <br />Dated: <br /> <br />cS--o/- - 0 7 <br /> <br />State of Nebraska <br />County of HALL <br /> <br />The foregoing instrument was acknowledged before me this 1ST <br />by CLINTON L. SIMMONS: SEAN L. MCNELIS: MARK J. MCCOUN <br /> <br />day of MAY, 2007 <br /> <br /> <br />GENERA6~~~AA~ta:. ~~~~~ <br />My Comm. Etll.~. 1. 'l0<r7 <br /> <br /> <br />~ @1987 8ankers Systams. Inc., St. Cloud, MN Form DRDH.LAZ.NE 3/8/2001 <br /> <br />(page 1 of 1) <br />