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201100587 <br />5. MASTER FORM. By the delivery and execution of this Security Instrument, Trustor agrees that all provisions and <br />sections of the master fortn Deed of Trust (Master Form), inclusive, dated ...........Q$�07/2Q0.7............ and recorded as <br />Recording Number ..................................... or Instrument Number ..�QQ7Q774�...................... � <br />Book ............................................................. at Page(s) .................. of the Official Records in the Office of the <br />Register of Deeds of .. HA4�� ............................ County, Nebraska, are hereby incorporated into, and shall govern, this <br />Security Instrument. This Security Instrument will be offered for record in the same county in which the Master Form was <br />recorded. <br />6. � CONSTRUCTION LOAN. This Security Instrument is a construction security interest which secures an obligation <br />incurred for the construction of an improvement on the <br />Property. <br />7. OTHER TERMS. �% Mortgage Rider - Escrow for Taxes and Insurance. If checked, the covenants and agreements of <br />the Mortgage Rider - Escrow for Taxes and insurance is incorporated into and supplement and amend the terms of this <br />Security Instrument. <br />SIGNATURES: By signing below, Trustor agrees to the terms and covenants contained in this Security Instrument and in any <br />attachments. Trustor also acknowledges receipt of a copy of this Security Instrument on the date stated on page 1 and a copy of <br />the provisions contained in the previously recorded Master Form. <br />�-� I � , (�,� % �7�? _,Yy <br />(;,��!.J�!���...� `:. . . y�� �� ...� � �� %�J <br />l ; <br />(signature) EDWARD W. VAN WINKLE, SR. (Date) <br />............................................................................ <br />(Signature) <br />(Date) <br />ACKNOWLEDGMENT: 1 <br />STATE OF ...!.... � ................................ OUNTY OF ......!..��:. .. ........................ ss. <br />(Individual) This instrument was acknowledged before me this .�.�.��!1...... day of ...�Q. ... . .. ��.�� <br />.......... . <br />by .FAV1/Aftp.W....VAN.V1/.I.�1KL,E.,.SR...Single ..... .... ......... . <br />My commission expires: � ' <br />VALERif NIEISEN <br />6t�a►at Notary <br />Sqle oi N�i�k� <br />� COINI�Ii�10�A �s A{I� Z�. 201Z <br />...... . ... ... . .. .......... <br />C ��� -- ( otary Public) <br />0 TM FormU56REDTSFNE9/14/2009 (page3of3) <br />