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20110930G <br />5. MASTER FORM. By the delivery and execution of this Security Instrument, Trustor agrees that all provisions and <br />sections of the master form Deed of Tivst (Master Form), inclusive, dated ........... and recorded as <br />R�ording Number ..................................... or Instrument Number ..�PQ7P.774�...................... in <br />Book ............................................................. at Page(s) .................. of the Official Records in the Office of the <br />Register of Deeds of .. HA�.1. ........................... County, Nebraska, aze hereby incorporated into, and shall govem, 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 construdion of an improvement on the <br />Properry. <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 />Securiry 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 />.. .. ...........�..� . . ........................ � ` 'r t � r ,I <br />� 'gnan're> DALE M. PA TEIN ��� <br />.... . . . ........�..�.. .............................. <br />(signature) ALLISON S. PAPSTEIN <br />11- l8'� 11 <br />(��> <br />ACKI�TOWLEDGMENT: <br />STA'TE OF .....�� ................................ COUNTY OF ............ �. ................................. <br />ss. <br />c�"°' This instrument was acknowled ed before me this ..... <br />�q g ...���...... day of ....... .. �. .. ..... .......... . �.`.� <br />by . AAI.�. M..PA.P.&T.�lN.and AIJ.ISAI�I S. PAl'ST�1Na. H�usband. and. Wife. ...................................... <br />� 0 ... o ......................................... .. .......................................'.�.—R.., ......... <br />...................... , <br />My commission expires: � <br />2 <br />_ _ �, ,� .... ..��... ....A.....r.� .. <br />� � (Notary Public) <br />rr--- .`� <br />�IIL��"' �- <br />� <br />�� � �� �� <br />� � GP1�' � <br />O� �va wonen a� ��,d� se���- e��rs sy�m, TM Fortn USBqEDTSFNE 9/14/2009 (page 3 of3) <br />