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<br />200902854 <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 />[XI 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 />April <br /> <br />f3, ;2009' <br />1 <br /> <br /> <br />OHN D. WILLOUGHBY <br /> <br />qf~rrr.J <br /> <br />JOYCE M. WILLOUGHBY <br /> <br />&.Q~~ <br />Mortgago I tor <br /> <br />Dated: <br /> <br />ct /g 109 <br /> <br />State of Nebraska <br /> <br />County of HALL <br /> <br />i-l.t 1L'1' <br />The foregoing instrument was acknowledged before me this e - day of n jOrfL <br />. <br />by JOHN D. WILLOUGHBY; JOYCE M. WILLOUGHBY. HUSBAND AND WIFE. AS TENANTS IN COMMON AND NOT AS JOINT TENANTS. <br /> <br />dOhJ <br /> <br />(Seal) <br /> <br />GENERAL NOTARY. State of Ne <br />MELVIN E. FULlER <br />My Comm. Exp. Marcil 23, 2012 <br /> <br /> <br />~ @1987 Sonk." Syot.mo, In".. St. Cloud, MN Form DRDH..LAZ..NE 31812001 <br /> <br />(page 1 of 1) <br />