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201501094
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2/24/2015 4:12:21 PM
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2/24/2015 4:12:21 PM
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201501094
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± " <br />4 <br />2b. INDIVIDUAL'S SURNAME <br />WOITASZEWSKI <br />FIRST PERSONAL NAME <br />ADAM <br />ADDITIONAL NAME(S) /INITIAL(S) <br />LEE <br />SUFFIX <br />2c. MAILING ADDRESS <br />10919 W CAPITAL AVE. <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />NANCING STATEMENT <br />01 JSTRUCTIONS <br />0 r L PHONE OF CONTACT AT FILER (optional) <br />CO LEY SCHROEDER 308- 395 -8586 <br />' CONTACT AT FILER (optional) <br />!y.schroeder@ne.usda.gov <br />t! <br />1 <br />OR <br />OR <br />3c. <br />2 <br />ACKNOWLEDGMENT TO: (Name and Address) <br />►LL COUNTY FSA <br />2550 N DIERS AVE., SUITE K <br />GRAND ISLAND, NE 68803 <br />4. COLLATERAL: This financing statement covers the following collateral: <br />a) All irrigation equipment; <br />Disposition of such collateral is not hereby authorized. <br />1 <br />b) All proceeds, products, accessions, and security acquired hereafter; <br />r y <br />c—, <br />r r <br />StGUKtU PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />FARM SERVICE AGENCY AN AGENCY OF THE UNITED STATES OF AMERICA <br />ca <br />cn ..Ir <br />111 <br />—1 <br />O <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only gat Debtor name (la or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 1b, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />la. ORGANIZATION'S NAME <br />1b. INDIVIDUAL'S SURNAME <br />WOITASZEWSKI <br />MAILING ADDRESS <br />0919 W CAPITAL AVE. <br />FIRST PERSONAL NAME <br />ADAM - <br />CITY <br />WOOD RIVER <br />ADDITIONAL NAME(S) /INITIAL(S) <br />L <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />SUFFIX <br />• 1 c. <br />�1 <br />y 2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />C! name will not fit in line 2b, leave all of item 2 blank, check here 0 and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />-7 2a. ORGANIZATION'S NAME <br />COUNTRY <br />3b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />550 N DIERS AVE., SUITE K <br />FIRST PERSONAL NAME <br />CITY <br />GRAND ISLAND <br />ADDITIONAL NAME(S) /INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />The security interest perfected secures a future advance clause and the security agreement contains an after - acquired <br />property clause. <br />SUFFIX <br />COUNTRY <br />5. Check ody if applicable and check gp1y one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) 0 being administered by a Decedent's Personal Representative <br />6a. Check gdy if applicable and check gdy one box: <br />6b. Check g.OIY if applicable and check gD1Y one box: <br />0 Public- Finance Transaction n Manufactured -Home Transaction 0 A Debtor is a Transmitting Utility Ej Agricultural Lien 0 Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor ❑ Consignee /Consignor ❑ Seller /Buyer ❑ Bailee /Bailor El Licensee /Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />International Association of Commercial Administrators (IACA) <br />
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