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This form is available electronically.
CCC-?..97
(08-18-04)
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COMPARE ~~
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U.S. DEPARTMENT OF AGRICULTURE
Commodity Credit Corporation
SEVERANCE AGREEMENT
See Page 2 for Privacy Act and Public Burden Statements
ADAMS COUNTY, NE
INST. NO. ~~L~DU~C~~~,~
Date _1=1~.~ rme_q a 7 ,~~1
~~~~'
REGISTER OF DEEDS
Form Approved -OMB No. 0560-0204
WHEREAS, (a) 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 Nebr-ask_a by deed
recorded in Book 30"/, 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 (I) 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 propertydescribed 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 olAgriculture (USDA) prohibits discrimination in all its program end activities on the basis o/race, color, nafienal odgin, age, disability, and where applicable, sex, manta! status, lamilial status, parental
status, religion, sexual orientation, genetic Inlomrafion, political beliels, repdsal, or because all or part of an individual's income is derived from any public assistance program. (Not all prohibited bases apply to all programs.)
Persons with disa611ifies whe require eltemative means /or communication o/ program inlonnetion (Braille, large pant, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To Ole a
complaint o/ Dischminaflon, write to USDA, Director, Office o! Civil Rights, 14001ndependence Avenue, S W., Washington, OC 20250-8410, or call (800) 795-3272 (voice) or (202) 720-6362 (TDD). USDA is an equal opportunity
provider end ernplcyer. _
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CCG-29,7_..(08.9.8-D4)~ , ~ ,. _ .._..._ _ _ ._ Page 2 of,P __.
•~ .„
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)
By
(!) Duly Authorized Officer
ARTHUR/JE~S HUKEI FAM~JILY RUST
VV ~ "G f ,~
(n Individual Mortgagee) (Owner)
Darre E. Schu ei
•~ ~ ~
_ (o) Individ al (Mortgagee) (Owner)
Sharon K. Schukei
(n1) Title
CORPORATE
SEAL
"Mortgagee" includes holder of any type of real estate lien.
*Delete "Mortgagee" or "Owner."
(p) STATE OF ~' ~~r(,a S'~lGti
(q) COUNTX OF j4c~/?t,~ } ss. ACKNOWLEDGMENT:
c~
On this (r) ~ l day of (s) .~(:~pt ('-r in the year (t) ~~ % ,before
me, the undersigned, a Notary Public in and~for said State, personally appeared (u) Darrell E. Schukei & Sharon K.
Schukei
personally known to me or proved to me on the basis of satisfactory ovicie;ice to be the individual(s) who~c name(s) is
(are) subscribed to the within instrument and acknowledged to me that he/she executed the same in leis/her/their capacity
lies), 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.
(SEAL)
My commission expires (w)
(v) Notary Public
GENERAt NOTARY- State of Nebraska
~*~~'~rrR~cpY.~a~i ~1, 2010
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 /or requesting
the /ollowing information is 7 CFR Part 1436 and the Commodity Credit Corporation Charter Act, 5 USC 714 et. seq. The inlormation will be used to determine eligibility for
CCC (financing for /arm, storage and drying equipment. Furnishing the requested inlormation 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 trnancing under this program. This in/ormation maybe provided to other agencies, IRS,
Department o/Justice, or other State and Federal law enforcement 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, 64 f, 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 co/lecfion of information unless it
displays a valid OMB control number. The valid OMB control number /or 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 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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2QQ80114
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 SW 1/4 16-6-12, Adams Cow~ty, 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 31iP,
1Phase; 1 - 7.SHP 1 Phase Motor; Concrete Pad and Footings
All grain leg systems and attachments, al] grain bins and grain handling and drying equipment
located on the SW 1/4 16-6-12, Adams County, NE
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