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973772
After recording, return recording information to: a© 04 7701 American Title, Inc. PO Box 641010 Omaha, NE 68164 -1010 Reference Number: 20132409600045 [Space Above This Line For Recording Data] RECEIVED 10/18/2013 at 3:16 PM RECEIVING 973772 BOOK: 822 PAGE: 547 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Account Number: ¢82- 682 1704524 -lxxx SHORT FORM LINE OF CREDIT MORTGAGE 0547 DEFINITIONS Words used in multiple sections of this document are defined below. The Master Form Mortgage includes other defined words and rules regarding the usage of words used in this document. (A) "Security Instrument" means this document, which is dated September 26, 2013, together with all Riders to this document. (B) "Borrower" is CHAD SYLVAN NIELSON AND JENNIFER ANN NIELSON, HUSBAND AND WIFE, AS TENANTS BY THE ENTIRETIES. Borrower is the mortgagor under this Security Instrument. (C) "Lender" is Wells Fargo Bank, N.A.. Lender is a National Bank organized and existing under the laws of the United States of America. Lender's address is 101 North Phillips Avenue, Sioux Falls, SD 57104. Lender is the mortgagee under this Security Instrument. (D) "Debt Instrument" means the loan agreement or other credit instrument signed by Borrower and dated September 26, 2013. The Debt Instrument states that Borrower owes Lender, or may owe Lender, an amount that may vary from time to time up to a maximum principal sum outstanding at any one time of, TWENTY FIVE THOUSAND AND 00 /100THS Dollars (U.S. $25,000.00) plus interest. Borrower has promised to pay this debt in Periodic Payments and to pay the debt in full not later than seven (7) calendar days after October 26, 2043. WYOMING -SHORT FORM OPEN -END SECURITY INSTRUMENT (page 1 of 5 pages) HCWF#4818- 6698 -6241 v2 (08/18/2012) WY-107006 -0312 Documents Processed 09 -24 -2013 14:25:41 (E) "Property" means the property that is described below under the heading "Transfer of Rights in the Property." (F) "Loan" means all amounts owed now or hereafter under the Debt Instrument, including without limitation principal, interest, any prepayment charges, late charges and other fees and charges due under the Debt Instrument, and also all sums due under this Security Instrument, plus interest. (G) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following Riders are to be executed by Borrower [mark as applicable]: N/A Leasehold Rider N/A Third Party Rider N/A Other(s) [specify] N/A (H) "Master Form Mortgage" means the Master Form Line of Credit Mortgage dated August 14, 2007, and recorded on August 30, 2007, as Instrument No. 932651, Book 670 at Page 599 609 of the Official Records in the Office of the Recorder of Lincoln County/City, State of Wyoming. TRANSFER OF RIGHTS IN THE PROPERTY This Security Instrument secures to Lender: (i) the repayment of the Loan, and all future advances, renewals, extensions and modifications of the Debt Instrument, including any future advances made at a time when no indebtedness is currently secured by this Security Instrument; and (ii) the performance of Borrower's covenants and agreements under this Security Instrument and the Debt Instrument. For this purpose, Borrower does hereby mortgage, grant and convey to Lender and Lender's successors and assigns, with power of sale, the following described property located in the County of Lincoln [Type of Recording Jurisdiction] [Name of Recording Jurisdiction] THE FOLLOWING DESCRIBED REAL ESTATE, SITUATE IN LINCOLN COUNTY AND STATE OF WYOMING, TO WIT: LOT 2 OF BLOCK 1 OF RANGER HEIGHTS SUBDIVISION TO THE TOWN OF DIAMONDVILLE, LINCOLN COUNTY, WYOMING AS DESCRIBED ON THE OFFICIAL PLAT THEREOF. which currently has the address of 52 MCGOVERN AVE [Street] KEMMERER Wyoming 83101 "Property Address [City] [Zip Code] WYOMING -SHORT FORM OPEN -END SECURITY INSTRUMENT HCWF#4818- 6698 -6241 v2 (08/18/2012) wv- 107006 -0312 (page 2 of 5 pages) Documents Processed 09 -24 -2013 14:25:41 0548 TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements, appurtenances, and fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property." The Property shall also include any additional property described in Section 20 of the Master Form Mortgage. BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to mortgage, grant and convey the Property and that the Property is unencumbered, except for encumbrances of record as of the execution date of this Security Instrument. Borrower warrants and will defend generally the title to the Property against all claims and demands, subject to any encumbrances of record. MASTER FORM MORTGAGE By the execution and delivery of this Security Instrument, Borrower agrees that all of the provisions of the Master Form Mortgage are hereby incorporated in their entirety into this Security Instrument. Borrower agrees to be bound by and to perform all of the covenants and agreements in the Master Form Mortgage. A copy of the Master Form Mortgage has been provided to Borrower. WYOMING -SHORT FORM OPEN -END SECURITY INSTRUMENT HCWF#4818- 6698 -6241 v2 (08/18/2012) WY- 107006 -0312 (page 3 of 5 pages) Documents Processed 09 -24 -2013 14:25:41 0549 BY SIGNING BELOW, Borrower accepts and a, -s to the terms and covenants contained in this Security Instrume 'I .ny r ecuted by rro -r a I recorded with it. Borrower also acknowledges receipt of a co• of .c -nt a c• .0"e to 'orm Mortgage. CHA1' VAN NIELSON WYOMING -SHORT FORM OPEN -END SECURITY INSTRUMENT HCWF#4818- 6698 -6241 v2 (08/18/2012) wY- 107006 -0312 Borrower Borrower (page 4 of 5 pages) Documents Processed 09 -24 -2013 14:25:41 0550 For An I dividual Acting In His/Her Own Right: State of Wytn 1 f 0� County of n tin This instrument was acknowledge by of persons) (Seal, if any) Jenee Hansen Notary Public County of State of Lincoln Wyoming My Commission Expire before me on OS (date) M C7t al,�Ai (name(s) My Commission Expires 191 WYOMING -SHORT FORM OPEN -END SECURITY INSTRUMENT (page 5 of 5 pages) HCWF#4818- 6698 -6241 v2 (08/18/2012) WY- 107006 -0312 Documents Processed 09 -24 -2013 14:25:41 0551