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This form is available electronically.
CCC-?.97 U.S. DEPARTMENT OF AGRICULTURE
(OS-18-04)
Commodity Credit Corporation
SEVERANCE AGREEMENT
See Page 2 for Privacy Act and Public Burden Statements.
WHEREAS, ~Q) Darrell E. Schukei
and
fib) 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; a.nd except that part deeded to the State of Nebraska by deed
recorded in Book 307, Page 851, 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 U. S. Department o/Agdculfure (USDA) prohibits W~scdminafion in ell its program and activities on the basis o/race, color, national origin, age, disability, and where applicable, sex, marital status, /amilial status, parental
status, re/iglorL sexual orientation, genetic inlonnation, political beliefs, reprisal, or because all or part o/ an individual's income is derived Iron any public assistance program. (Not all prohibited bases apply to all programs.)
Persons with disabilities who require elfemafive means for communlcafion of program in/ormafion (Braille, large pool, audiotape, efcJ should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file e
complaint o/Discrimination, wdfe to USDA, Director, Once o/Civil Rights, 14001nr/ependenceAvanue, S W., Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6362 (TDO). USDA is an equal opportunity
provider end employee
ADAMS `COUNTY, NE
f~GL~Da 8 Q ~.
INST. NO.~ ~-
Date - --n~ Time ~~ S~ ,
REGISTER OF DEEDS
Form Approved -OMB No. 0560-0204
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CCC-29T (,(~-1~NQ4:).~ ' ~ ~ .~ .
IN WITNESS WHEREOF, the undersigned parties hereto have executed this instrument
this (h) 19th day of (i) December ""`"" "-` , 0'2007 (year).
if a corporation:
FARM CREDIT SERVICES OF AMERICA, FLCA
(lc) Name of Corporate (Mortgagee) ~*
I~v_~~ G_ _
(l) Duly Aut ori2ed Officer
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~~
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CORPORATE ~ ~~ '
SEAL ~, ~ (..`.. ~ ., .
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"Mortgagee" includes holder of any type of real estate lien.
*Delete "Mortgagee" or "Owner."
(p) STATE OF NG k~;•ciSkGt
(q) COUNTY OF 1-1211 ss. ACKNOWLEDGMENT:
On this (r) l ~~ day of (s) ~~cszrY,~e~~ in the year (t) ~ ,before
me, the undersigned, a Notary Public in and for said State, personally appeared (u) .~o,~ ~•.~ ~.iS.P.~
(n) Individual (Mortgage,e) (Owner)
(o) Individual (Mortgagee) (Owner
e5. -..3 a ~ O V 4,..0
personally kiiowr, to me or proved to me un tlrc i,asis .,f satisfactory evidence to b~ the individual(s) whose ran:e(s) is
(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 Nebraska
i~ TARA E JANDA
~~'„ --- My Comm. Exp. Jan. 27, 2008
(SEAL)
My commission expires (w)
~~ ~' ~>c~
(v) N tary Public
J~k~, ~7~Zc~u~~
(MM-DD-YYYY)
NOTE: The following statement is made in accordance with the Privacy Act o/ 1974 (5 USC 552a) and the Paperwork Reduction Act of 1995, as amended. The authority for requesting
the /ol/owing in/ormation is 7 CFR Part 1436 and the Commodity Credit Corporation Charter Act, 5 USC 714 et. seq. The in/ormation will be used to determine eligibility for
CCC /financing /or /arm, storage and drying equipment. Furnishing the requested information is voluntary; however, without it CCC financing under the program cannot be
provided. Failure to furnish the requested information will result in denial of CCC /financing under this program. This information maybe provided to other agencies, IRS,
Department o(Justice, or other State and Federal law en/orcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and
civil fraud statutes, including 18 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 o/information unless it
displays a valid OMS control number. The valid OMB control number for this information collection is 0560-0204. The time required to complete this information collection is
estimated to average 15 minutes per response, including the time Ior reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection olinformation. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
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ATTACHMENT TO FORM CCC-297, SEVERANCE AGREEMENT
A. Tlie 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, Adatns County, NE bin site.
New equipment consisting of 2 - 8" Horizontal unloading auger with power sweep; 8"x65' Wet
Bin Auger with 1 - lOHP, 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,
1Phase; 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 the SW1/4 16-6-12, Adams County, NE
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