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Clay rn.fer NE (~P93~-D~brNUM ~~ - ~ ~~~-
RD. COMP x ~! ~d=~~
COMPARE _r1~/
ADAMS CO~UjNTY NE
INST. N0. f,_"~ ~' ~'
Date l-Time `~ ~~
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REGISTER OF DEEDS
CADAS `- AO ~
This form is available electronically.
CCC-297
(08-18-04)
U.S. UEPAR7'iUI~NT OF AGRICULTIiRE
Commodity Credit Corporation
SEVERANCE AGREEMENT
See Page 2 for Privacy Act and Public Burden Statements.
WHEREAS, (Q) Darrell E. schukei
and
(b~ 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 6tI' 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.
Tha U. S, Department o/Agdculfure (USDA) prohibits discrimination in all its program and activities on the basis of race, color, national origin, age, disability, and where applicable, sez, marital status, lamilial status, parental
status, religion, sexual orientation, genetic inlormetion, political beliels, repdsel, or because all or pert olan individual's income is derived Irom any public assistance program. (Nor all prohibited bases apply (a a0 programs.)
Persons with disabilities who require al(amative means for communicerion o/program inlomrarion (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center of (202) 720.2600 (voice and TDO). To 6le a
cornpleint o/ Dlscrirninafion, write to USDA, Director, OKce o/ Civil Rights, 14001ndapendance Avenue, S W., Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202) 7266362 (TDD). USDA is an equal opportunity
provider and employer.
Form Approved -OMB No. 0560-0204
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.. ~ CCC,29.7 (.08-.1&.,04)x.,,,, ~...a„1 ...__ ..w_. .. ., __.~Page 2 0~ T"
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IN WITNESS WHEREOF, the undersigned parties hereto have executed this instrument
this (f:) 19th day of (i) December ' _"""'"~-' ~j~`20~07 ` ' (year)
if a corporation:
,.
(!c) Name of Corporate (Mortgagee) (Owner) * (n) Individual ~~~) (Owner)
Verona M. Schukei
lay _ _ (o) Individual (Mortgagee) (Owner)
(l) Duly Authorized OJJicer
(m) Tttle
CORPORATE
SEAL
"Mortgagee" includes holder of any type of real estate lien:
*Delete "Mortgagee" or "Owner."
(p) STATE OF l~'(~~PI.iS~CI.~
(q) COUNTY OF f ~(1Ct/)i ~ } SS. ACKNOWLEDGMENT:
On this (r) 1 `"t day of (s) ~r'. (I ~'/It ~(~/ in the year (t) ~C'~' ? ,before
me, the undersigned, a Notary Public in and for said State, personally appeared (u) Verona M. Schukei
personally known to mP or proved to me on the h~sis of satisfactory evidence to be the individual(s) whose name(s) is
(are) subscribed to the within instrument ar-d 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 Nebraska ~~1~ ~j_ ~ , ~~~,.
liN - GLENDA S. KING SEAL) ty 2~
~J My Comm. Exp. Jan. t t, 2010 '
(v) Notary Public
My commission expires (w) ~-/~ -~D/ ~
(MM-DD-YYYY)
NOTE: The /ollowing statement is made in accordance with the Privacy Act of 1974 (5 USC 552a) and the Paperwork Reduction Act o/ 1995, as amended. The authority for requesting
the !ollowing information is 7 CFR Part 1436 and the Commodity Credit Corporation ChaRer Act, 5 USC 714 et. seq. The information will be used to determine eligibility for
CCC financing for farm, storage and drying equipment. Furnishing the requested information is voluntary; however, without it CCC financing under the program cannot be
provided. Failure fo /urnish the requested information will result in denial o/CCC financing under this program. This information maybe provided to other agencies, IRS,
Department of Justice, or other State and Fedora! law en/orcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of chmina/ and
civil fraud statutes, including f8 USC 286, 287, 371, 641, 651, 1001; 15 USC 714m; and 31 USC 3729, maybe applicable to the information provided.
According to the Paperwork Reduction Act of 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 /or this in/ormation collection is 0560-0204. The time required to complete this information collection is
estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathehng and maintaining the data needed, and
completing and reviewing the collection of in/ormation. RETURN THIS COMPLETED FORM TO YOUR COUNTYFSA OFFICE.
a ~~ ~
ATTACHMENT TO FORM CCC-297, SEVERANCE AGREEMENT
A. ~[,he existing 7,000 bushel StorMor wet holding bin; 11,000 bushel StorMor drying bin; 20,000
bushel StorMor storage bin located at the SVb'1/4 16-6-12, Adains 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
located on die SW1/4 16-6-12, Adams County, NE
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