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<br /> :JG ;lO ~ <br /> m <br /> ~ ." ;-"".;) <br /> C c.n c;:,~ <br /> :x: ":~ <br /> 11' (l z ',,- -.3 <br /> % E c ,....:",,1:l..... -- <br /> ~ ~"" --, ~= <br /> j ~ -"". ~': Z <br /> r"rl ;) ~~~ <br /> ~ :J: C) <br /> 1 ~~\~ r0 <br />I\.) 0 \ U1 <br />C$l '~'I'1 <br />C$l r (;':') <br />-..J r1'~ ~ '~, -D <br />C$l (","1 0. ::3 <br />c..n 0 <br />0J I.n \ <br /> r <br />0J ,:' G.'> <br />CO \' <br /> .....c <br /> a <br /> <br /> <br /> <br />Space Above This line For Recording Data <br /> <br />State of Nebraska <br /> <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br /> <br />(") (n <br />0-1 <br />c: 10.- <br />Z ~,~ <br />----1 rn <br />-< c> <br />o""T1 <br />--,-, ~,,- <br />.j,,_ (":"1 <br />r~ r.1' <br />r- ;n <br />1- l:,y. <br />(I) <br />7' <br />>- <br /> <br />.........--..... <br /> <br />(j) <br />(fJ <br /> <br />Eacl:l of the undersigned states as follows: <br /> <br />Non-Homestead <br /> <br />[X) 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 />L,.-\- 0 '7 <br /> <br />.~ K ti!d1L <br />{/"" Mor"tZ"""a" o;r/" T" stor <br />LYN,,}!e~~)<~' LAR' l?\ /'// , <br />feZ~\... ) L--t~/ { <br />r...- ~ <br /><' Mortgagor/Trustor <br />MARK D. CLARK <br /> <br />Dated: <br /> <br />l.. .- \ -0 I <br /> <br />State of Nebraska <br />County of HARRISON <br /> <br />The foregoing instrument was acknowledged before me this 1ST <br />by LYNN K. CLARK; MARK D. CLARK, WIFE & HUSBAND <br /> <br />day of JUNE. 2007 <br /> <br />~.Jal <br />r"~;" <br />" /'""'~" <br />.::..~.... <br />i:;;"lwl.. <br /> <br />My commission expires: CV~9 <br /> <br />~.JJ- <br />Notary Public <br />KENNETH WAITE <br /> <br /> <br />~ @1987 8ankers Systems. Ine.. St. Cloud. MN Form DRDIl-LAZ-NE 3/8/2001 <br /> <br />Lof"")~~~'f <br /> <br />(page 1 of 11 <br /> <br />ga- <br />~[ <br />o <br />e>cr <br /> <br />~i <br />~i <br />CO2 <br />o <br /> <br />'16.00 <br />