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� � 201048443 5. MASTER FORM. By the� delivery and execution of this Security Instrument, Trustar agrees that all provisions and sections of the master form Deed of Trust (Master Form), inclusive, dated ...........0$�07/2Q07........... and recorded as Recarding Number ..................................... or Instrument Number ..�OQ�:p774�...................... in Book ............................................................. at Page(s) ................., of the Of�cial Records in the Office of the Register of Deeds of .. NA�I, ........................... County Nebraska, are hereby incorporated inW, and shall govern, this Security Instnunent. 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 whi�h secures an obligation incurred for the tonstruction of an improvement on the Property. 7. 07H�R TERMS. � Mortgage Rider - Escrow for Taxes and Insurance. If checked, the covenants and agreements of the Mortgage Rider - Escrow for Taxes and Insurante is incorporated into and supplement and amend the terms of this Security Instrument. 51GNATURES: 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 Seturity Instrument on the date stated on page 1 and a copy of the provisions contained in the previously recorded Master Form. '^ p— �,d-/!� ��.�..� ................................... �. siqnaturc) ROGER J. SMITH (IDate) .... ... � ............... .. ................. (Signature) STEPHANIE SMITH ��-� /a (Date) ACKNOWLEDGMENT: STAT� O� ..��.�21t a4�.A ......................... COUNTY OF ... �!k!-�......................................} ss. �'"`''""'""'� This instrument was acknawledged before me this .... oz�7 ... .. . . .. day of .. :C."�a �r . .... ..: 2�? l.Cl . .... by .RQfa.E.R.�..SMJTH. nd.ST�PHANI�.SMITH,.Hushand.an�.W..ifs .................................... ....... . My commission expires:�� , '�j �( --�•-- O/ � - . .. . . . . . . .`. .�r . . .� .`� . . ...� `� .. .. .. .... . . . ... . . .... .. . . ... . .. � (Notary Vublic) � TMAOTHY W. MAYFIELO 6�ra1 Notary ftat� of Nabra�ka Myr Commleslon Explrsa Jul 1 t.�01 t �1994 Walters Kluwer Financial Services - BankeYS Systems T � Form 1158REDT5FNE 9/14R009 (page 3 of 3)