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2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only m& debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />1 a. ORGANIZATION'S NAME <br />FIRST NAME <br />MIDDLE NAME <br />OR <br />1 b. INDIVIDUAL'S LAST NAME <br />l 7 l it <br />MIDDLE NAME <br />SUFFIX <br />HARTMAN <br />THOMAS <br />LYNN <br />POSTAL CODE <br />1c. MAILING ADDRESS <br />CITY <br />STATE <br />M <br />M <br />COUNTRY <br />= .... <br />GRAND ISLAND <br />NE <br />IPOSTALCODE <br />68801 <br />ORGANIZATION <br />16 SEE INSTRUCTIONS <br />ADD'L INFO RE I 1e. TYPE OF ORGANIZATION <br />1f. JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #, if any <br />3a. ORGANIZATION'S NAME <br />ORGANIZATION <br />UNITED STATES OF AMERICA ACTING THROUGH THE FARM SERVICE AGENCY <br />OR <br />_�. <br />DEBTOR I <br />I <br />I NONE <br />z�z <br />;�. <br />M <br />D <br />cn <br />n <br />N <br />ry <br />cn <br />m <br />(p� <br />UCC FINANCING STATEMENT <br />w <br />o � <br />O <br />� <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />Q <br />�`� <br />C <br />—i M <br />O <br />A. NAME & PHONE OF CONTACT AT FILER [optional] <br />�� <br />` <br />t� <br />o --I <br />O <br />C]. <br />SHELLEY SCHROEDER 308 - 395 -8586 <br />° <br />s <br />-r, <br />w <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />rD <br />F_ <br />N <br />r- <br />co <br />HALL COUNTY FSA <br />P O BOX 5943 <br />�°, <br />W <br />n <br />n <br />ca <br />2 <br />3 <br />GRAND ISLAND, NE 68802 <br />�, <br />.�.� <br />CD <br />s <br />Cn <br />CO <br />= <br />r-1- <br />C/) <br />z <br />L <br />O <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insertonlvone debtor name /1 a or 1 b) -do notabbreviate or combine names <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only m& debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />1 a. ORGANIZATION'S NAME <br />FIRST NAME <br />MIDDLE NAME <br />OR <br />1 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />HARTMAN <br />THOMAS <br />LYNN <br />POSTAL CODE <br />1c. MAILING ADDRESS <br />CITY <br />STATE <br />NE <br />COUNTRY <br />2934 W SCHIMMER DRIVE <br />GRAND ISLAND <br />NE <br />IPOSTALCODE <br />68801 <br />ORGANIZATION <br />16 SEE INSTRUCTIONS <br />ADD'L INFO RE I 1e. TYPE OF ORGANIZATION <br />1f. JURISDICTION OF ORGANIZATION <br />1g. ORGANIZATIONAL ID #, if any <br />3a. ORGANIZATION'S NAME <br />ORGANIZATION <br />UNITED STATES OF AMERICA ACTING THROUGH THE FARM SERVICE AGENCY <br />OR <br />3b. INDIVIDUAL'S LAST NAME <br />DEBTOR I <br />I <br />I NONE <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only m& debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />HARTMAN <br />CARLOTTA <br />YVONNE <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />2934 W SCHIMMER DRIVE <br />GRAND ISLAND <br />NE <br />68801 <br />2d. SEE INSTRUCTIONS <br />ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I I F1 NONE <br />3. S EC U R E D PARTY'S NAME (or NAME ofTOTAL ASSIGNEE of ASSIGNOR SIP) - i nsert only2Msecured party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />UNITED STATES OF AMERICA ACTING THROUGH THE FARM SERVICE AGENCY <br />OR <br />3b. INDIVIDUAL'S LAST NAME <br />IFIRSTNAME <br />IMIDDLE NAME <br />ISUFFIX <br />3c. MAILING ADDRESS UI I Y [t,11111­ [UZ:,I11I_1,u111_ win <br />- P O BOX 5943 GRAND ISLAND NE 68802 <br />4. This FINANCING STATEMENT covers the following collateral: <br />1992 7 -TOWER ZIMMATIC PIVOT - SERIAL NO. 42003 AND WESTERN LAND ROLLER ELECTRIC MOTOR - <br />50 HP - SERIAL NO. 9205473. DISPOSITION OF SUCH COLLATERAL IS NOT HEREBY AUTHORIZED. <br />5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE /LESSOR CONSIGNEE/CONSIGNOR BAILEE/BAILOR SELLER /BUYER AG. LIEN NON -UCC FILING <br />his s to e tiled or recor or recorded) 1n a ec to on a for s <br />�,.r.r� ..�,.,.....,. r.,r,r,mm�.,.� r.....,... 11 1 All Debtors I ID.bt.rl I ID.btor2 <br />8. OPTIONAL FILER REFERENCE DATA <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />