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202501895
<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 Mortgagee's consent.
<br />5. IN WITNESS WHEREOF, Mortgagee has executed this Agreement by signing on the (a) 1 / day
<br />of (b) a 17/U4J , (c) 20)5.
<br />BY (d)
<br />TITLE (e) SFNJoat v I C& r04 Fi 1 C Pa —
<br />LEGAL: The Northwest Quarter (NW 1/4) of Section Thirty -Four (34), Township Twelve (12) North, Range Ten (10) west of the 6th P.M., Hall County, Nebraska, Excepting
<br />Rauert Third Subdivision filed as Document No. 89-100341 and Semm Subdivision filed as Document No. 202501356.
<br />STATE OF NEB SKA )
<br />COUNTY OF _�+ )
<br />6. ACKNOWLEDGMENT
<br />This foregoing instrument was acknowledged before me this n
<br />Pq-I-Tr6
<br />(Duly Authorized Officer)
<br />lake Presi id of —16LOn 4 CDt4 ray
<br />(Title)
<br />My commission expires:
<br />Ovou. 2.2210
<br />(Name of Mortgagee
<br />day of
<br />, 202
<br />GENERAL NOTARY - State of Nebraska
<br />TRICIA CAMPLIN
<br />My Comm. Exp. June 2,2026
<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 Farm and Rural Development Act, as amended (7 U.S.C. 1921
<br />et. sue.). The information will 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, and local govemment agencies,
<br />Tribal agencies, and nongovemmental entities 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 fumish the requested information may result in a denial for
<br />loans and loan guarantees, and servicing of loans and loan guarantees. The provisions of criminal and civil 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 />program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all
<br />programs). Remedies and complaint filing deadlines vary by program or incident.
<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 (voice and TTY) or contact USDA through the Federal Relay Service at
<br />(800) 877-8339. 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 />http.//www.ascr.usda.gov/complaint filing cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all 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) mail: U.S. Department of
<br />Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email:
<br />program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.
<br />FSA-2319 (10-13-22) Page 2 of 2
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