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�Of1023�3 <br />1111057672 <br />The Following Rider(s) are to be executed by Borrower and are attached hereto and tnade a part thereof [check box as <br />applicable]: <br />❑ Condominium Rider � Growing Equity Rider ❑ Adjustable Rate Rider <br />❑ Planned Unit Development Rider ❑ Graduated Payment Rider <br />❑ Other(s) [specify] ,r <br />BY SIGI�'fN �ELOW, Borrower accepts and agrees to the terms contained in this Security Instrument and in any <br />rider(s) executed,'�y ��rower and recorded with it. <br />ITTANY AMBROSE �- DATE - <br />Witnesses: � <br />Witness <br />STATE OF NE <br />COUNTY OF HALL <br />The foregoing instrument was acknowledged before me o <br />SINGLE WoMAN (name of person acknow(edged). <br />GENERAL NOTARY - State of Nebraska <br />iIV MARNIE SCHAGER SUNDERMEIER <br />�"",� My Comm. Ezp. Sept. 8, 2011 <br />E, A <br />My Commission Expires: ��� ��� G/ <br />REQUEST FOR RECONVEYANCE � <br />TO TRUSTEE: <br />The undersigned is the holder of the note or notes secured by this Deed of Trust. Said note or notes, together with all other <br />indebtedness secured by this Deed of Trust, have been paid in full. You are hear by directed to cancel said note or notes and <br />this Deed Qf Trust, which are delivered hereby, and to reconvey, without warranty, all the estate now held by you under this <br />Deed of Trust to the person or persons legally entitled thereto. <br />Date <br />Wimess <br />FHA Nebraska Deed Of Trust - 07/08 <br />� 391.6 Page 7 of 7 <br />