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1 � � � ' ' 201100533 5. 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 ...........0$�R7/2R9. and recorded as Recording Number ..................................... or Instrument Number ..�047077,4,2...................... in Book ............................................................. at Page(s) .................. of the Official Records in the Off'ice of the Register of Deeds of .. NA4-� ............................ County, Nebraska, are hereby incorporated into, and shall govem, 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 on the date stated on page 1 and a copy of the provisions contained in the previously recorded Master Form. ..�......�l�rti'v.��e/�i:..�...... �!../ .............. (Signature) MARTINaI�.�N�GAN ............................................................................ (Signature) ACKNOWLEDGMENT: c ,� q STATE OF . . . �I, V. � . . . . . . . .. .. . . .. . . . .. .. . . .. . . .. °"`''""'"°'� This instrument was acknowledged before me this by .MARTIN.I.,.MARGAN..lJnmarried.........., My commission expires: �' -a0 - '�.ol � (Date) �� , 2 2 — I o (Date) , COUNTY OF ..... � ....................... ...} ss. .... .. . day of .. �4 .. . ....... �o� o... .�. ....... �� Y1ILERIE 1�IELSEII �I 3fiIW af Nlbtqltt � �� $0� �Z �7994 Wolters Kluwer Flnanclal Services- Bankers Systems TM Form USBREDTSFNE 9/14/2009 ........................................... . ,�1 ........ (Notary Public) (page3 of3)