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201105420 <br />MASTER FORM DEED OF TRUST <br />By the execution and delivery of this Security Instrument, Borrower agrees that all of the provisions of <br />the Master Form Deed of Trust are hereby incorporated in their entirety into this Security Instrument. Borrower <br />agrees to be bound by and to perform all of the covenants and agreements in the Master Form Deed of Trust. A <br />copy of the Master Form Deed of Trust has been provided to Borrower. <br />BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this <br />Security Instrument and in any Rider executed by Borrower and recorded with it. Borrower also acknowledges <br />receipt of a copy of this document and a copy of the Master Form Deed of Trust. <br />DOUGLASJ <br />- Borrower <br />For An Individual Acting In His/Her Own Right: <br />Stateof_ ebrAik F <br />County of_iAa -I ) <br />The foregoing instrument was acknowledged before me this p 7/D ee /ZO 1 1 (date) <br />by <br />1.JD L1�Ia �. J CEO YdOYt �_n /.tn M[LYriCal me rc�vl <br />Witness my hand and official seal, this the ( day of T/j 1 1,___ , z"P 11. <br />GENW1 NOTARY- State of Nebraska <br />PATRVA SCHMIT <br />My Comm. EXP. May 5, 2013 <br />[Notary Seal] <br />h (Serial Number, if any) <br />A3 <br />My Commission expires: O <br />/e!_ i6 . sr4M9i <br />(Print Name of Person taking acknowledgment) <br />NEBRASKA- SHORT FORM OPEN -END SECURITY INSTRUDIENT (page 3 of pages) <br />HCWF# 48p14 - 9p16y5- p7985v2 (0212112009 <br />Documents Processed 07-06-2011,08:43:41 <br />