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<br />200706850 <br /> <br />DOC ID #: 00017714810208007 <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this <br />Security Instrument and in any Rider executed by Borrower and recorded with it. <br /> <br />~H~I}7' <br /> <br />J RY A. S E JR <br /> <br />(Seal) <br /> <br />-Borrower <br /> <br />..:1.9-< ...: .;:~ <br /> <br />-~~ <br /> <br />(Seal) <br />-Borrower <br /> <br />LORI L. SAMPLE <br /> <br />(Seal) <br />-Borrower <br /> <br />(Seal) <br />-Borrower <br /> <br />STATE OF NEBRASKA, Hall County ss: <br />The foregoing instrument was acknowledged before me this 9th day of August. 2007 <br />by Jerry A. Sample, Jr. and Lori L. Sample, husband and wife <br /> <br />~. . .. .GENERAL NO...TAR. Y. . Stale of Nebraska <br />1m: DE8;'~A J. KOZAK <br />=.7.,'"1'" M Comm. Ex . Jan, 30. 200B <br /> <br /> <br />-:JL <br /> <br />My Commission Expires: January 30, 2008 <br /> <br /><Sa-6A(NE) (0407) <br /> <br />CHL (08105) <br /> <br />Page 11 of 11 <br /> <br />Form 3028 1101 <br />