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201002977 <br />MASTER FORM DEED OF TRUST <br />By the execution and delivery of this Security Instrument, Borrower agrees that all of the provisions of <br />the Master Form Deed of Trust are hereby incorporated in their entirety into this Security Instrument. Borrower <br />agrees to be bound by and to perform all of the covenants and agreements in the Master Form Deed of Trust. A <br />copy of the Master Forrn Deed of Trust has been provided to Borrower. <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. Borrower also acknowledges <br />receipt of a copy of this document and a copy of the Master Form Deed of Trust. <br />S IE M. JACOBIN U -Borrower <br />~. <br />. JACOBSON -Borrower <br />For An Indivi ual Acting In His/Her Own Right: <br />State of _________~ <br />County of <br />The foregoing instrument was acknowledged before me this _~~ (date) <br />b~~a../7,i x/71 ~ CD ~S ~ ~ ~ .-~.L4~P. <br />__.__... ,__ __ _~__ (namt of person acknowledged). <br />Witness my hand and official seal, this the ~ day of /'~ , ~Q <br />[N lcRAl NOl'ARY State of Nebraska <br />ANGEL M. GAY <br />Canm, EX . S t~nber6, 2Qt1 <br />/ / (Serial Number, if any) <br />My Commission expire • __ ~ <br />rint N e of Person taking a o edgment) <br />NEBRASKA -SHORT FORM OPEN-END SECURITY INSTRUMEN (page 3 of4 pages) <br />HC W F# 4814-9165-7985v2 (02/21 /2009 <br />(~I~INNI~I~~~~1~~~~~~~~111~1~1~ Documents Processu104-09-2010, 10:43:41 <br />