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2oioo53is S. MASTER FORM. By the delivery and execution of this Security Instrument, Trustor agrees that all provisions and sections of the master form Deed of Trust (Master Form), inclusive, dated ......................R$~.P.7./.recorded as Recording Number ..................................... or Instrument Number ..~Q.P.~Q7742............. in Book ............................................................. at Page(s) .................. of the Official Records in the Office of the Register of Deeds of ....k1t41,.~ ..................... County, Nebraska, are hereby incorporated into, and shall govern, this Security Instrument. This Security Instrument will be offered for record in the same county in which the Master Form was recorded. 6. ~ CONSTRUCTION LOAN. This Security Instrument is a construction security interest which secures an obligation incurred for the construction of an improvement on the Property. 7. OTHER TERMS. ~ Mortgage Rider -Escrow for Taxes and Insurance. If checked, the covenants and agreements of the Mortgage Rider -Escrow for Taxes and Insurance is incorporated into and supplement and amend the terms of this Security Instrument. SIGNATURES: By signing below, Trustor agrees to the terms and covenants contained in this Security Instrument and in any attachments. Trustor also acknowledges receipt of a copy of this Security Instrument an the date stated on page 1 and a copy of the provisio ontained in the previously recorded Master Form: ~.~.~ ~ o .~.~'......~,... ... .................. 7 - _~ (Siguature) FRANK O. AM05 (Date) .... ~~...~'..-.~.. ~`~~c~-.. ............... (Siguature) MARLENE C. AMOS (Date) ACKNOWLEDGMENT: STATE OF ..N.a!~~, ............................ COUNTY OF ..........~4~i.!n~............................ } ss. (InJiviJual) This instrument was acknowledged before me this .......~.......... day of .....Jew~-~.......t.Z„4?4° .................... by .FRANK.Q..AM.OS.and.MARLENE.C..AMOS,.Hu~band.and.W~ e, ............................................. . My commission expires: (Notary Public) C:MRISTINA KILiE 6wnsral Notary atoll of NWr~ka Mp Ca~mlalon Expih~k F~ !, `ZOf~ 5 Cv~1994 Welters Kluwer Financial5ervices-Banker55y5tem5 7M FOrm USl3REl7TSFNE 9/[4/Z009 (prage3of3)