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FINANCING STATEMENT <br />0 OW INSTRUCTIONS <br />v 0 IME & PHONE OF CONTACT AT FILER (optional) <br />CO MAIL CONTACT AT FILER (optional) <br />lelley , schroeder @ne.usda.gov <br />INIIM111111111•11 _ e ND ACKNOWLEDGMENT TO: (Name and Address) <br />® <br />W. COUNTY FARM SERVICE AGENCY <br />SIIIMIMMUNMIMIN 1 50 N DIERS AVE., SUITE K <br />RAND; BLAND, NE 68803 <br />I L <br />OR <br />1c. <br />OR <br />2c . <br />OR <br />3c . <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 12/01/16) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY)• Provide only gam Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1• DEBTORS NAME: Provide only gem Debtor name (la or tb) (use exact, rul name; do not omit, modify, or abbreviate any pan of the Debtor's name); it any part of the Individual Debtor's <br />name will not fit in line 1b, leave art of item 1 blank. check here D and provide the Individual Debtor infomiation in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />13. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />KLEEB <br />MAILING ADDRESS <br />7535 SOUTH 60TH ROAD <br />FIRST PERSONAL NAME <br />KELVIN <br />ADDITIONAL NAME(SyINITIAL(S) <br />E <br />CITY <br />ALDA <br />STATE <br />NE <br />POSTAL CODE <br />68810 <br />SUFFIX <br />COUNTRY <br />2, DEBTOR'S NAME: Provide ony gym 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 />name tail not fit in line 2b, leave au of item 2 blank, check here [J and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />KLEEB <br />MAILING ADDRESS <br />7535 SOUTH 60TH ROAD <br />FIRST PERSONAL NAME <br />SUSAN <br />CITY <br />ALDA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />A <br />STATE POSTAL CODE <br />NE 68810 <br />B) ALL PROCEEDS, PRODUCTS, REPLACEMENTS, SUBSTITUTIONS, ADDITIONS, ACCESSIONS, AND SECURITY ACQUIRED HEREAFTER <br />DISPOSITION OF SUCH COLLATERAL IS NOT HEREBY AUTHORIZED. <br />1 SUFFIX <br />COUNTRY <br />COMMOD)TY CREDIT CORPORATION <br />3b, INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />CIO HALL COUNTY FSA; 2550 N DIERS AVE., SUITE K <br />FIRST PERSONAL NAME <br />CITY <br />GRAND ISLAND <br />ADDITIONAL NAME(SYINITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />SUFFIX <br />— 4. COLLATERAL: This financing statement covers the following copateral- <br />A) 48" BROCK GRAIN BIN; BROCK FAN: 25 HP, 60 HZ, 3-PHASE, SN 42577203; BALDOR FAN MOTOR: 25 HP, 60 HZ, 3-PHASE, SN C1610210382; <br />POWER SWEEP; UNLOADING MOTOR WI NEMA PREMIUM AUGER MOTOR: 10 HP, 60 HZ, 3- PHASE, SN 1028429621, ALL ATTACHED GRAIN <br />HANDLING AND DRYING EQUIPMENT; <br />COUNTRY <br />5. Check My if applicable and check a0bt one box: Collateral is Uheld at * Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Cheep Solt if applicable and chock obi ono box: 8b. Crack <br />Oft 0 applicable and dock gppb one box: <br />0 Public-Finance Transaction 0 Manufactured -Home Transaction 0 A Debtor is a Transmitting Utility 0 Agricultural Lien 0 Non-UCC Filing <br />7, ALTERNATIVE DESIGNATION (it applicable): U Lessee/Lessor 1 1 Consignee/Consignor n Seller /Bu fl Bailee/Bailor n Ucenseetf icensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />FSFL 2017/00001 <br />International Association of Commercial Administrators (IACA) <br />