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This form is available electronically.
CCC-297 U.S. DEPAR~I MENT OF AGRICULTURE
(08-18-04)
Commodity Credit Corporation
SEVERANCE AGREEMENT
See Page 2 for Privacy Act and Public Burden Statements.
ADAMSOUp TY, NE
INST. N0.~ ~ ~ ~
Date ~~Time9,: ~~ Ant
V REGISTER OF DEEDS
Form Approved -OMB No. 0560-0204
WHEREAS, ~Q) Darrell E. Schukei and
(6~ Connie J. Schukei , Of (c) 19900 W Saddlehorn Rd, Holstein, NE COUnty Of
(d) Adams ,State of (e) Nebraska , (herein called Debtors), have
applied tothe Commodity Credit Corporation (herein called the Secured Party), for a loan and have agreed to give the
Secured Party a security interest in the following-described fixture(s) (~:
SEE ATTACHMENT
which fixture(s) is (are) affixed to the following-described real estate: (Add legal description) (~
The Southwest Quarter (SW1/4) except the North 38 rods of the West 29.5 rods thereof,
containing 7 acres more or less; and except that part deeded to the State of Nebraska by deed
recorded in Book 307, Page 861, Section Sixteen (16), Township Six (6) North, Range Twelve
(12) West of the 6th P.M., Adams County, NE
NOW, THEREFORE, in consideration of the making or insuring of such loan by the Secured Party, the undersigned
parties hereby (1) consent that the Debtors may grant to the Secured Party a security interest in said fixture(s) under the
Uniform Commercial Code, (2) consent to the installation of said equipment and agree said equipment shall be and remain
severed from the real property described above, and (3) agree that upon default of Debtors the Secured Party may (a) take
possession of and remove said fixture(s) without notice to the undersigned parties and without liability to them for any
diminution of value of the real estate caused by the absence of the fixture(s) or by any necessity for replacing the fixture(s),
and (b) enforce its security interest against said fixture(s) as personalty.
The V.S. Department olAgdculture (USDA) prohibits discdminatien in all its program end activities on the basis of race, color, national odgin, age, tlisability, and where applicable, sex, madfal status, familial status, parental
status, religion, sexual orientation, genetic inlomration, political beliefs, repdsal, or because all or part o/an individual's income Is derived from any public assistance program. (Not ell prohibited bases apply to all programs.)
Persons wHh disabilities who require alternative means for crommunication o7 program information (Braille, large pdnf, audiefape, ete.f should contact USDA's TARGET Center et (202) 720-2600 (voice and TDD). To (le e
complaint of Discrimination, write fe USDA, Director, Once of Civil Rights, 14001ndependence Avenue, SW, Washington, DC 20250.9410, or call (800) 7953272 (voice) or (202) 720-6362 (TOO). USDA is an equal opportunity
provider end employer.
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CCC-1'97"(08 ~18=b4~ '" ~ ' ~ri~+ge _ ~ -._.. , page Z..of.2 v
i ._..........,....
4
IN WITNESS WHEREOF, the undersigned parties hereto have executed this instrument -
this (h) 19th day of (i) December ;' G) 2007 ` ~ (year).
if a corporation:
(k) Name of Corporate (Mortgagee) (Owner)
13y
(l) Duly Authorized Gffieer
~, ~~ ~~
(n) ndividual (Mortgagee) (Owner)
'Da ell E. Sch kei ,
~Z~72cP ~ L~,L~,pr~,/
(o) Indi "` ual (Mortgagee) (Owner)
Connie J. Schukei
(m) Title
CORPORATE
SEAL
"Mortgagee" includes holder of any type of real estate lien.
*Delete "Mortgagee" or "Owner."
(p) STATE OF I~.J{'Vr?.'}S~Ct;.
(q) COUNTY OF 1~(IC~~t1 S' } ss. ACKNOWLEDGMENT:
On this (r) ~ v! day of (s) ~ t''C'C'lIt`j(~-' in the year (t) i~~' ~ ,before
me, the undersigned, a Notary Public in and~for said State, personally appeared (u) Darrell E. Schukei & Connie J.
personally known to me or proved to tnc of~ the t:asis ofsatisfacta'y evidence to be the individual(s) whose name.(s) is Schukei
(are) subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her/their capacity
(ies), and that by his/her/their signature(s) on the instrument, the individual(s) or the person on behalf of which the
individual(sl acted. execute the instrument.
GENERAL NOTARY - State of Nebras~C~ AL)
~I~ GLENOA S. KING
- -_ ,` My Comm. Exp. Jan.11, 2010
My commission expires (w)
(v) Notary Public
1-11-2010
(MM-DD-YYYY)
NOTE; The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting
the following information is 7 CFR Part 1436 and the Commodity Credit Corporation Charter Act, 5 USC 714 et. seq. The information will be used to determine eligibility for
CCC financing for /arm, storage and drying equipment. Furnishing the requested information is voluntary, however, without it CCC /inancing under the program cannot be
provided. Failure to /urnish the requested information will result in denial o/CCC (Wanting under this program. This information maybe provided to other agencies, IRS,
Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions ofcrimina/ and
civil fraud statutes, including 18 USC 286, 287, 371, 641, 651, 1001; >5 USC 714m; and 31 USC 3729, maybe applicable to the in/ormation provided.
According fo the Paperwork Reduction Act o/ 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a valid OMB control number. The valid OMB control number far this information collection is 0560-0204. The time required to complete this information collection is
estimated fo average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE:
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ATTACHMENT TO FORM CCC-297, SEVERANCE AGREEMENT '
A. The existing 7,000 bushel StorMor wet holding bin; 11,000 bushel StorMor drying bin; 20,000
bushel'StorMor storage bin located at the SW1/4 16-6-12, Adams County, NE bin site.
New equipment consisting of 2 - 8" Horizontal unloading auger with power sweep; 8"x65' Wet
Bin Auger with 1 - l OHP, 1 Phase Motor and 8"x 90 degree Discharge Spout; Cross Auger with
1 - SHP, 1 Phase Motor and 8" x 90 degree Discharge Spout; Calc-U-Dry Moisture Monitor SP;
1 - 20,924 level Bushel capacity 7 Ring GSI Grain Bin; 7 Ring outside ladder with safety cage; 7
Ring FM Inside Roof to Floor ladder package;-Bin Door Step package, 1 - 18" GSI Dry Fan 3HP,
1 Phase; 1 - 7.SHP 1 Phase Motor; Concrete Pad and Footings
All grain leg systems and attachments, all grain bins and grain handling and drying equipment
locatr:;d on the SW1/4 16-6-12, Adams County, NE -
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