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202009097
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Last modified
11/20/2020 11:42:16 AM
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11/20/2020 11:42:16 AM
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202009097
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:INANCING STATEMENT AMENDMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />AN TUREK (308) 395-8586 <br />IL CONTACT AT FILER (optional) <br />In.Turek@usda.gov <br />) ACKNOWLEDGMENT TO: (Name and Address) <br />miammii <br />_ COUNTY FARM SERVICE AGENCY <br />3 WEBB RD., SUITE A <br />IGRAND ISLAND, NE 68803 <br />L <br />r� <br />n) <br />O <br />1✓ <br />co <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />ND <br />O <br />(V <br />O <br />CO <br />0 <br />(O <br />1a. INITIAL FINANCING STATEMENT FILE NUMBER <br />INSTRUMENT NO. 0200502706 <br />2. Q TERMINATION: Effectiveness of the Financing Statement identified above is terminated <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />1b.0 This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer. a= Amendment Addendum (Form UCC3Ad) esed provide Debtor's name in item 13 <br />ce�re.�e..e <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check gm of these two boxes: AND Check gns of these three boxes to: <br />CHANGE name and/or address: CompleteADD name: Complete item DELETE name: Give record name <br />This Change affects ❑ Debtor g ❑Secured Party of record ❑ item 6a or 6b; end item 7a or 7b end item 7c ❑ 7a or 7b, end item 7c ❑ to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only gne name (6a or 6b) <br />OR <br />6a. ORGANIZATIONS NAME <br />DOUBLE H PARTNERSHIP <br />6b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only 4si name (7a or 7b) (use exact, lull name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />R <br />7a. ORGANIZATION'S NAME <br />7b, INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />8. ❑ COLLATERAL CHANGE: Also check me of these four boxes: ❑ ADD collateral <br />Indicate collateral: <br />STATE <br />POSTAL CODE <br />COUNTRY <br />❑ DELETE collateral ❑ RESTATE covered collateral ASSIGN collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only ge name (9a or 9b) (name of Assignor, If this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />9a. ORGANIZATIONS NAME <br />OR <br />FARM SERVICE AGENCY, AN AGENCY OF THE UNITED STATES OF AMERICA <br />9b. INDIVIDUALS SURNAME <br />10. OPTIONAL FILER REFERENCE DATA: <br />(FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />International Association of Commercial Administrators (IACA) <br />
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