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l~y Southwest Title Company
RECEIVED
LIr',~00LN 00t.INTY CLERK
CC FINANCING STATEMENT
;LLOW INSTRUCTIONS Ifront and back/ CAREFULLY 8 9 8
· NAME & PHONE OF CONTACT AT FILER (optional)
· SEND ACKNOWLEDGMENT TO: (Name and Address)
~Choice Farm Credit, ACA
t 866
urry~ille PA 16631-0092
,552 ,-
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
DEBTOR'S EXACT FULL LEGAL NAME - ,nsen only one debtor name (la or lb) - do nol a[~urewale or como,ne names
Ila. ORGANIZATION'S NAME
Ifb. INDIVIDUAL'S LAST NAME FIRST NAME
[VanSickle Samuel
MAILING ADDRESS CiTY
231 Trap Run Rd Po Box 156 Accident
SEE INSTRUCTIONS ADD'L INFO RE
ORGANIZATION re. TYPE OF ORGANIZATION
12-96-7602 DEBTOR
I
:~DDLE NAME SUFFIX
STATE I POSTAL CODE ICOUNTR¥
IZ, m ~1520 ' IU.S.A
I lL ORGANIZATIONAL ID #, if any r--] NONE
Ill. JURISDICTION OF ORGANIZATION
ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or comb,ne names
2a. ORGANIZATION'S NAME
. 2b. INDIVIDUAL'S LAST NAME FIRST NAME
MAILING ADDRESS CiTY
SEE INSTRUCTIONS
ADD'L INFO RE
ORGANIZATION
DEBTOR
2e. TYPE OF ORGANIZATION
2f. JURISDICTION OF ORGANIZATION
MIDDLE NAME SUFFIX
STATE POSTAL CODE IU'S'ACOUNTRY
29 ORGANIZATIONAL ID #, il' any r'---] NONE
SECURED PARTY'S NAME (or NAME or TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b)
3a. ORGANIZATION'S NAME
AgChoice Farm Credit, ACA
3b. INDIVIDUAL'S·LAST NAME
MAILING ADDRESS
: 866
FIRS! NAME
CITY
ICurryville
MIDDLE NAME
STATE IPOSTAL CODE
IPA F 63 -0092
SUFFIX
COUNTRY
U.S.A
This FINANCING STATEMENT covers the following collateral:
.1 standing timber.
<ERNATIVE DESIGNATION [if applicableI [ I LESSEE/LESSOR [ J CONSIGNEE/CONSIGNOR I '1BAILEE/BAILOR I J SELLER/BUYER L~AG. LIEN L~J NON-UCC FILING
EX I This FINANCING STATEMENT is lo be filed [for record] (or recorded) in the REAL
ESTATE RECORDS. Allach Addendum Elf applicable]
3PTIONAL FILER REFERENCE DATA
7. Check to REQUEST SEARCH REPORT(S) on Debtor(s)
[ADDITIONAL FEEl [opbonalI [~Atl Debtors [~-]Debtor 1 E----]Debtor2
;C FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02)
8602UC
Instructions for UCC Financing Statement (Form UCC1)
Please type or laser-print this form. Be sure it is completely legible. Read all instructions especially Instruction 1: correcl Debtor name is crucial.
Follow instructions completely.
Fill in form very carefully; mistakes may have important legal consequences. I you have questions, consult your attorney. Filing office cannot give
legal advice.
Do not insert anything in the open space in the upper portion of this form; it is reserved for filing office use.
When properly completed, send Filing Office Copy, with required fee, to filing office. If you want an acknowledgement, complete item B and, if filing in a
filing office that returns an acknowledgment copy furnished by filer, you may also send Acknowledgment Copy; otherwise detach. If you want to
make a search request, complete item 7 (after reading Instruction 7 below) and send Search Report Copy, otherwise detach. Always detach
Debtor and Secured Party Copies.
If you need to use attachments you are encouraged to use Addendum (Form UCC1Ad) or Additional Party (Form UCC1AP).
A. To assist filing offices that might wish to communicate with filer, filer may provide information in item A. This item is optional.
B. Complete item B if you want an acknowledgment sent to you. If filing in a filing office that returns an acknowledgment copy furnished by filer, presenl
simultaneously with this form a carbon or other copy of this form for use as an acknowledgment copy.
1. Debtor name: Enter only one Debtor name in item 1. an organization's name (1 a) or an individual's name (lb). Enter Debtor's exact full le.qal
name. Don't abbreviate.
la. Or.qanization Debtor. "Organization" means an entity having a legal'identity separate from its owner. A partnership is an organization; a sole
proprietorship is not an organization, even if it does business under a trade name. If Debtor is a partnership, enter exact full legal name of
partnership; you need not enter names of partners as additional Debtors. If Debtor ~s a registered organizafion (e.g., corporation, limited
partnership, limited liability company), it is advisable to examine Debtor's current filed charter documents to determine Debtor's correct name,
organization type, and jurisdiction of organization.
lb. Individual Debtor. "Individual" means a natural person; this includes a sole proprietorship, whether or not operating under a trade name.
Don't use prefixes (Mr., Mrs., Ms.). Use suffix box only for titles of lineage (Jr., Sr., II1) and not for other suffixes or titles (e.g., M.D.). Use
married woman's personal name (Mary Smith, not Mrs. John Smith). Enter individual Debtor's family name (surname) in Last Name box, first
given name in First Name box, and all additional given names in Middle Name box.
For both organization and individual Debtors: Don't use Debtor's trade name, DBA, AKA, FKA, Division name, etc. in place of or combined
with Debtor's legal name; you may add such other names as additional Debtors if you wish (but this is neither required nor recommended).
lc. An address is always required for the Debtor named in la or lb.
ld. Reserved for Financing Statements to be filed in North Dakota or South Dakota only. If this Financing Statement is to be filed in North Dakota
or South Dakota, the Debtor's taxpayer identification number (tax ID#) - social security number or employer identification number musl be
placed in this box.
le, f, g. "Additional information re organizati'on Debtor" is always required. Type of organization and jurisdiction of organization as well as Debtor's
exact legal name can be determined from Debtor's current filed charter document. Organizational ID#, if any, is assignee by the agency
/:, where the charter document was filed; this is different from tax ID#; this should be entered preceded by the 2-character U.S. Postal
R identification of state of organization if one of the United States (e.g., CA 12345. for a California corporation whose organizational ID# is
12345); if agency does not assign organizational ID#, check box in item 1 g indicating "'none."
Note: If Debtor is a trust or a trustee acting with respect to property held in trust, enter Debtor's name in item 1 and attach Addendum (Form UCC1Ad)
and check appropriate box in item 17. If Debtor is a decedent's estate, enter name of deceased individual in item lb and attach Addendum (Form
UCC1Ad) and check appropriate box in item 17. If Debtor is a transmitting utility or this Financing Statement is filed in connection with a
Manufactured-Home Transaction or a Public-Finance Transaction as defined in applicable Commercial Code attach Addendum (Form UCC1Ad) and
check appropriate box in item 18.
2. If an additional Debtor is included, complete item 2, determined and formatted per Instruction 1. To include further additional Debtors, attach
either Addendum (Form UCCtAd) or Additional Party (Form UCCIAP) and follow Instruction I for determining and formatting additional
names.
3. Enter information for Secured Party or Total Assignee, determined and formatted per Instruction 1. To include further additional Secured
Parties, attach either Addendum (Form UCC1Ad) or Additional Party (Form UCC1AP) and follow Instruction I for determining and formatting
additional names. If there has been a tote assignment of the Secured Party's interest prior to filing this form, you may either (1) enter
Assignor S/P's name and address in item 3 and file an Amendment (Form UCC3) [see item 5 of that form]; or (2) enter Total Assignee's name
and address in item 3 and, if you wish, also attaching Addendum (Form UCC1Ad) giving Assignor S/P's name and address in item 12.
4. Use item 4 to indicate the collateral covered by this Financing Statement. If space in item 4 is insufficient, put the entire collateral description
or continuation of the collateral description on either Addendum (Form UCCIAd) or other attached additional page(s).
5. If filer desires (at flier's option) to use titles of lessee and lessor, or consignee and consignor, or seller and buyer (in the case of accounts or
chattel paper), or bailee and bailor instead of Debtor and Secured Party, check the appropriate box in item 5. If this is an agricultural lien (as
defined in applicable Commercial Code) filing or is otherwise not a UCC security interest filing (e.g., a tax lien, judgment lien, etc.), check the
appropriate box in item 5, complete items 1-7 as applicable and attach any other items required under other law.
If this Financing Statement is filed as a fixture filing or if the collateral consists of timber to be. cut or as-extracted collateral,' complete items
" 1-5, check the box in item 6, and complete the required information (items 13, 14 and/or 15) on Addendum (Form UCC1Ad).
7. This item is optional. Check appropriate box in item 7 to request Search Report(s) on all or some of the Debtors named in this Financing
Statement. The Report will list all Financing Statements on file against the designated Debtor on the date of the Report, including this
Financing Statement. There is an additional fee for each Report. If you have checked a box in item 7, file Search Report Copy together with
Filing Officer Copy (and Acknowledgment Copy). Note: Not all states do searches and not all states will honor a search request made via
this form; some states require a separate request form.
This item is optional and is for flier's use only. For flier's convenience of 'reference, filer may enter in item 8 any identifying information (e.g.,
Secured Party's loan number, law firm file number, Debtor"s name or other identification, state in which form is being filed, etc.) that filer may
find useful.
UCC FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS/front an(:J backt CAREFULLY
9. NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT
I
ga, ORGANIZATION'S NAME
OR 9b. INDIVIDUAL'S LAST NAME FIRST NAME
Samuel
VanSickle
m M DDLE NAME SUFFIX
MISCELLANEOUS:
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - inserl only one name (11a or 11b)- ao not abbrewate or combine names
r
IllA. ORGANIZATION'S NAME
/
1 lb. INDIVIDUAL'S LAST NAME FIRST NAME
1 lc. MAILING ADDRESS
1 ld. SEE INSTRUCTIONS ADD'LDEsToRORGANiZATioNINFO RE 1 la. TYPE OF ORGANIZATION
MIDDLE NAME SUFFIX
CITY STATE POSTALCODE COUNTRY
I ] USA
11LJURISDICTION OF ORGANIZATION 11g ORGANIZATIONALID#.it'any
[~"~NONE
ASSIGNOR S/P'S NAME - insert only' one name (12a or 12b)
12. [----I ADDITIONAL SECURED PARTY'S
112a. ORGANIZATION'S NAME
I
OR
12b. INDIVIDUAL'S LAST NAME FIRST NAME
12c. MAILING ADDRESS CITY
16. Addibonal collateral descripnon:
3. This FINANCING STATEMENT covers [ ~ I timber to be cut or I X I as-exlracted
collaleral, or is filed as a ~ fixture filing.
4. Description of real estate:
Standing timber on 2453 -/+ acres
located in Lincoln County, Wyoming on
Parcel ID No 01-0757647 also known as
Timber Draw Ranch. See attached legal
description.
1 5. Name and address of a RECORD OWNER of above-described real esLale
(it' Deblor does not have a record interest);
MIDDLE NAME
STATE POSTAL CODE
17. Check only if applicable and check only one box.
Debtor is a ~"~ Trusl Or r'~ Trustee acting wilh respect to prope~y held in kusl or
~ Decedent's Estale
18, Check only if apl~mable and check only one DOX.
~ Debtor is a TRANSMIT]'ING UTILITY
~ Filed In connecfion wllh a Manufactured - Home Transaction - elfecfive 30 years
Filed In connecfic~ with a Public-Finance Transaction - effecfive 30 ~'ears
SUFFIX
COUNTRY
U.S.A
UCC FINANCING STATEMENT ADDENDUM (FORM UCCIAd) (REV. 05/22/02)
D18702UC (0402)
08 S507,.. --
Instructions for I. ICO Financing Statement Addendum {Form LICC1Ad} ' -'
Insert name of first Debtor shown on Financing Statement to which this Addendum relates, exactly as shown in item 1 of Financing
Statement.
Miscellaneous: Under certain circumstances, additional information not provide~ on Financing Statemenl may be required. Aisc, some
states have non-uniform requirements. Use this space to provide such additional information or to comply with such requirements;
otherwise, leave blank.
If this Addendum adds an additional Debtor, complete item 11 in accordance with Instruction 1 of Financing Statement. To include further
additional Debtors, attach either an additional Addendum (Form UCC1Adl or Additional Party (Form UCC1 AP) and follow Instruction I of
Financing Statement for determining and formatting additional names.
If this Addendum adds an additional Secured Party, complete item 12 in accordance with Instruction 3 on Financing StatemenL To include
further additional Secured Parties, attach either an additional Addendum (Form UCClAd) or Additional Party (Form UCC1AP) and follow
Instruction 1 of Financing Statement for determining and formatting additional names. In the case of a total assignment of the Secured
Party's interest before the filing of this Financing Statement, if filer has given the name and address of the Total Assignee in item 3 of the
Financing Statement, filer may give the Assignor S/P's name and address in item 12.
If collateral is timber to be cut or as-extracted Collateral, or if this Financing Statement is filed as a fixture filing, check appropriate box in
item 13; provide description of real estate in item 14; and, if Debtor is not a record owner of the described real estate, also provide, in item
15, the name and address of a record owner. Aisc provide collateral description in item 4 of Financing Statement. Aisc check box 6 on
Financing Statement. Description of real estate must be sufficient under the applicable law of the jurisdiction where the real estate is
located.
Use this space to provide continued description of collateral, if you cannot complete description in item 4 of Financing Statement.
If Debtor is a trust or a trustee acting with respect to property held in trust or is a decedenrs estate, check lhe appropriate box.
If Debtor is a transmitting utility or if the Financing Statement relates to a Manufactured-Home Transaction or a Public-Finance
Transaction as defined in the applicable Commercial Code, check the appropriate box.
?02UC (0402)
OSk~S50'¢
All that certain tract, lot, piece, and parcel of' land situated in the County of' Lincoln, State
of' Wyoming, and described as follows to-wit:
399
T28N RAI_9W of the 6th P.M., Lincoln County, Wyoming
Section 4:'
Section 5:
Section 6:
Section 7:
Section 8:
Section 9:
Lots 3 and 4 and WtASW~A;
Lots 1, 2, 3 and 4 and,SM;
Lots 1, 2, 3 and 4, W~SW~A, SE~A and E%SWXA;
All.
ALl.
SW~NW¼.
T28N RL20W of the 6th P.M., Lincoln County, Wyoming
Section 1: Lots !, 2 and 3, NE~A.SE~,4, SE~ASEtA and WtASE~A.
T29N RllgW o~ tbs 6th P.M., Lincoln County, Wyoming
Section 3
Excepting and reserving from the above property:
Parcel 1
Ownership:
ROW Easement:
Ownership:
ROW Easement:
SE1/4SE1/4, Section 7, T28N R119W of the 6TM P.M., Uncoln County, Wyoming.
30 foot ea.semenr thru the S;/2SW1/4; 5'81/45E1/4, Section 7, T28N R119W of the 6~h
P.M., Lincoln County, Wyoming.
NWl/4NWl/4, Section 7, T28N Fl119W ortho 6TM P.H., Lincoln County, Wyoming:
30 foot easern~t thru the W1/25W1/4; $W1/4NWl/4, Section 7, T28N RI 19W of the 6*
P.H., Lincoln CountT, Wyoming.
Parc~ 3
ROW
SW1/4 NWl /4 , Sedion 7, T28N R11 9W of the 6· P.H., Lino31n County, Wyoming.
30 foot easement thru the Wl/2SW1/4, Secti,~n 7, T28N R119W of the 60' P.H., Lincoln
County, Wyoming.
RECEIVED
RIGHT- OF- WA
of the County of ~'h~ and State of ~OOOt~X'~:ER. ?:'(:~h~)~inafter referred to as
"granto~', for and in consideration of ONE DOLLAR ($~.00) and other 9ood and valuable consideration,
receipt of which is hereby acknoWledoed, does hereby omnt unto the County of Lincoln, State of Wyoming,
hereinafter referred to as "orantee", the right to lay out, construct, inspect, operate and maintain a road for
the use of the public over and across the following described lands situate in lhe County of Lincoln and State
of Wyomino, to-wit:
hereby releasing and waiving all rights under the homestead laws of the State of Wyoming;
Grantor also grants the right of ingress and egress to and from said lands for any and all purposes
necessary and incidental to the exercise, by the Grantee, and the public, of the rights granted under this
conveyance; including but not limited to, the right of corporations organized under the laws of this State or
of any other State or of the United States for the purpose of constructing, maintaining and operating
telephone, telegraph or electdc transmission and distribution lines to set their poles, piers, abutments, wires
and other fixtures along, across or under the above described lands in accordance with § 1-26-501 of the
Wyoming Statutes, (2001);
Grantee agrees to maintain culverts of suitable size across such ditches and laterals of Grantor as
necessary for proper operation of irrigation systems and in the case of new construction, the grantee agrees
to construct culverts of suitable size across such ditches and laterals of Grantor as necessary for proper
operation of the irrigation systems.
The easement herein granted shall be perpetual so long as tile above described lands are used for
the purpose of a public road.
WITNESS my (our) hand(s) this ,00 day of
STATE OF WYOMING )
)SS.
COUNTY OF LINCOLN )
The foregoing instrument was acknowledqed before me by:
L b L&o , 71/'Sme,La. , this
,/
I.
My commission expires:
day or ~ U ~-/~ , 2003.