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202208690
<br />(d) That this agreement includes consent to the Government for making loans and taking the related mortgage
<br />notwithstanding any provision of the Mortgage which prohibits a loan or mortgage without the t Mortgagee's consent.
<br />5. IN WITNESS WHEREOF, Mortgagee has executed this Agreement by signing on the (a) 1 64- J day
<br />of (b) , (C) 2013..
<br />BY (d)
<br />TiTLE (a) ��N
<br />6. ACKNOWLEDGMENT
<br />Legal:
<br />The North Half of the Northeast Quarter (N1/2NE1/4) of Section Twenty -Eight (28), Township Twelve (12) North, Range Nine (9)
<br />West of the 6th P.M., Hall County, Nebraska.
<br />STATE OF NEBRASKA
<br />COUNTY OF 1-1(4.
<br />(,
<br />)
<br />fnregoing instrument was acknowledged before me this 1(o day of I (»i loa.i 2022, by
<br />Of al* lot Nebusagbehalf of HERITAGE BANK, a Nebraska banking corporation.
<br />ALEXANDRIA HOLMES
<br />My Comm. Exp. Sept 7, 2028
<br />(Seal)
<br />jaw":
<br />Notary Public
<br />•
<br />NOTE: The following statement Is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a - as amended). The authority for
<br />requesting the information Identified on this form Is the Consolidated Fenn and Rural Development Act, as amended (7 U.S.C. 1921
<br />g(. gag.). The information wilt be used to determine eligibility and feasibility for loans and loan guarantees, and servicing of loans and
<br />loan guarantees. The Information collected on this form may be disclosed to other Federal, State, end local government agencies,
<br />Tribal agencies, end nongovernmental entitles that have been authorized access to the Information by statute or regulation and/or as
<br />described In the applicable Routine Uses identified In the System of Records Notice for USDA/FSA-14, Applicant/Borrower.
<br />Providing the requested information is voluntary. However, failure to furnish the requested Information may result Ina dental for
<br />loans and loan guarantees, and servicing of loans and loan guarantees. The provisions of criminal and cMl fraud, privacy, and other
<br />statutes may be applicable to the information provided.
<br />According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond
<br />to, a collection of information unless It displays a valid OMB control number. The valid OMB control number for this information
<br />collection is 0560-0237. The time required to complete this information collection is estimated to average 30 minutes per response,
<br />including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
<br />completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.
<br />In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, Its Agencies, offices, and
<br />employees, and institutions participating In or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex.
<br />gender Identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, Income derived from a public assistance
<br />pram, patios!
<br />Remadbelsiefs,
<br />or complaint reprisal Il rgetaliation
<br />deadlines varyprior
<br />civil
<br />i program or Iity in do any program or activity conducted or funded by USDA (not all bases apply to all
<br />Persons with disabilities who require alternative means of communication for program Information (e.g., Braille, large print audiotape, American Sign Language,
<br />etc.) should contact the responsible Agency or USDA's TARGET Center at (202) 720-2600 (vette and TTY) or contact USDA through the Federal Relay Senate at
<br />(800) 877-6339. Additionally, program Information may be made available In languages other Than English.
<br />To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD -3027, found online at
<br />hitp://www.ascr Usde.govV^omplalnt.il1ng_cust html and et any USDA office or write a letter addressed to USDA and provide In the letter a8 of the information
<br />requested In the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mall: U.S. Department of
<br />Agriculture Office of the Assistant Secretary for CMI Rights 1400 independence Avenue, SW Washington. A.C. 20250-9410; (2) fax: (202)690-7442; or (3) email:
<br />progrem.inteke@usda.gav, USDA Is an equal opportunity provider, employer, and lender.
<br />FSA -2319 (10-13-22) Page 2 of 2
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