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<br />~ <br />~ <br />~ <br />'1-> <br />o <br />c <br />:5 <br />~ <br />~' <br />-S <br /> <br /> ~ ..--:> <br /> ~ (:::~;::, o UJ <br /> <==> <br /> =~~::,t~. or::> o -i <br /> c:::t:-- <br /> Z , Z -i <br />n ::rJ 't:> '< c: -irrl <br />:c ~ 0 f'Tl (;... :z: -<0 <br />p; ~ 0,__ :e- O -" <br /> O~'\- <br />~ :c ---" c...> """1 Z <br /> ~ 0 ~ :::;;: I'll <br /> m -0 :t:-- ("0 <br /> rn t ::3 r :;;0 <br /> C) rt>- <br /> CfJ ~ UJ <br /> rv ::><: <br /> t>- <br /> Ul -......... <br /> CO (/) <br /> (/) <br /> Space Above This line For Recording Data <br /> <br />J'\J <br />S <br />S <br />00-- <br />S <br />~ <br />-.,J <br />CO <br />...... <br /> <br />State of Nebraska <br /> <br />200804781 <br /> <br />DISCLAIMER OF RIGHT TO DESIGNATE HOMESTEAD <br /> <br />Each of the undersigned states as follows: <br /> <br />Non-Homestead <br /> <br />[XI I intend to grant a security interest in real property legally describe,d 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 />~- J(/ --O~ <br />) /36/()(f <br /> <br />~J~4 <br /> <br />MortgagorlTrustor <br /> <br />gL <br /> <br />Mortgagor IT rustor <br /> <br />Dated: <br /> <br />tffjWl <br /> <br />CINDY S. ELLIS <br /> <br />State of Nebraska <br />County of ADAMS <br /> <br />The foregoing instrument was acknowledged before me this 27TH <br />by RUSSElll. ELLIS; CINDY S. ElliS. HUSBAND AND WIFE <br /> <br />day of MAY. 2008 <br /> <br />~ GENERAL NOTARY"St,1te oj Nebraska <br />(!Iiii DOUGLAS A. KOOPMAN <br />..,,;~:J.~::, My ISElM) Exp . 9-/8-07 <br /> <br />fk~ <br /> <br />u <br /> <br />7-/B~07 <br />. <br /> <br />C{ A;;~~~ <br />Notary bllc <br /> <br />My commission expires: <br /> <br />~ C 1987 Sa..... Svst-me, Inc., St. Cloud. MN Form DRDH-lAZ"NE 3/8/2001 <br /> <br />(page 1 of 1) <br /> <br />C?' ~ <br />r"\.) <br /> :0 <br />C> m <br /> C <br />C) )> <br />CO en <br />C) Z <br />.....r::: ~ <br />-J c:: <br />i: <br />CO m <br />to-' ::i <br /> ~ <br />c:{; 50 <br />.7' <br /> ~'~:, ~ <br />