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<br /> This form is available electronically. Form Approved-OMB No.0560-0190
<br /> FSA-211 U.S.DEPARTMENT OF AGRICULTURE
<br /> (07-26-05) Farm Service Agency-Commodity Credit Corporation-Federal Crop Insurance Corporation
<br /> POWER OF ATTORNEY
<br /> THE UNDERSIGNED does hereby appoint(1) Hickory Point Bank & Trust,fsb of�2� P.o. Box 2548
<br /> Decatur (3) macon County,State of(4) Illinois , the attorney-in-fact to act for
<br /> (,5J city of Decatur in connection with Farm Service Agency and Commodity Credit Corporation
<br /> program number(s)checked below. Checking any of the FSA or CCC programs does not have any impact as to the FCIC transactions
<br /> checked below:
<br /> A. FSA and CCC PROGRAMS B. TRANSACTIONS for FSA and CCC PROGRAMS
<br /> (Check applicable program nunzbers) (Check applicable program nunabers)
<br /> � I. All current programs. ❑ 6.Noninsured Crop Disaster Assistance � � All actions. ❑ 5. Making reports.
<br /> Program.
<br /> ❑✓ 2. All current and alI future ro rams. ❑ 2. Signing applications, � 6. Conducting all
<br /> p g ❑ 7.Tobacco programs. a reements,and contracts.
<br /> g marketing assistance
<br /> � 3 Direct and Counter-Cyclical Program � g• Marketing Assistance Loans � 3. Election of bases and yields loan and LDP
<br /> except 2002 peanuts covered by and Loan Deficiency Payments. except peanut designation transactions.
<br /> Item A4. ❑ 9. Conservation programs. covered by Item B4.
<br /> � 4. 2002 Direct and Counter-Cyclicat � 4. Desi nation of eanut � �� Other(Specify)
<br /> ❑ ]0. Milk Income Loss Contract Program. g P
<br /> Peanu[Program. Excuting CCC-526 Routing
<br /> historical base and a ents co f inancial
<br /> ❑ 5. Peanut Quota Buy-Out Program. ❑ >> Other(Spec�) yield to a farm. P �
<br /> institution accounts
<br /> This forn�may aiso be used to grant authority to an attorney-in-fact to act on the grantor's behalf with respect to certain FCIC programs and crops.
<br /> Checking v�y of the FCIC transactions does not have any impact as to the FSA or CCC transactions checked above:
<br /> C. FCIC CROPS D. TRANSACTION NUMBERS USED BY FCIC
<br /> (Enter'Al/"or spec�each crop and year) (Check applicable numbers)
<br /> �. Al l Q 1.All actions. � 4. Making claim for indemnity.
<br /> 2.
<br /> ❑ 2. Making application for insurance. ❑ 5. Making contract changes.
<br /> 3.
<br /> 4 � 3. Reporting crop acreage and notice of � 6. Other(Specrfy)
<br /> damage reports.
<br /> This Power of Attorney is valid in all counties in the United States unless otherwise noted. This power of attorney shall remain in full force and effect
<br /> until(/)written notice of its revocation has been duly served upon FSA; (2) dea[h of the undersigned grantor;or(3)incompetence or incapacitation
<br /> of the undersigned grantor. The undersigned grantor shall provide separate written notice of revocation to the applicable crop insurance agent. This
<br /> power of attorney shall not be effec[ive until properly executed and served to a FSA Service Cen[er.
<br /> • �
<br /> 6A.Signature(s)of Grantor(s)(Individual) B. Date(MM-DD-YYYY) C.Social Security Number D. For Grantors Signature
<br /> Continuation,check here if
<br /> FSA-211A is attached.
<br /> ❑
<br /> 7A. Si ure o rantor(P rshrp, Corporation, Trust,etc.) B. Title C. Date D. Identification No.
<br /> C���'�/�IV — (MM-DD-YYYY) of Entity
<br /> Mayor 05/07/2007
<br /> 8A. Witness Signature(FSA Enrployee Only) . ate C.Official Position
<br /> (MM-DD-YYYYJ
<br /> L
<br /> 9. Notary Public(t ' �rnr slinll b�cknow edge by a Notnry Public un/ess wrinessed by a FSA employee �a corf�J�i�f#i�is affi d).
<br /> ,� ' N�p�b��C.gtate of Illinois
<br /> Signature(n) ����L-�� ate of (b) I 111ri01 S County o I�I�COrtu���es J8n 29,2011
<br /> 10. This power of attorney was served to (a) County FSA Office,(b)State of a��d
<br /> became effective this (c) day of (d) >(e)
<br /> NOTE: The iollowing statementis made in acmroance wth the Pmacy Act o/1974(5 USC�2a)and fhe PaperworkRetludion Acf o/1995,as amen�d. The autl�onfy lor requesfing the lollowmg
<br /> mlormatron�s The Food Secudy and Rurallnvesfinenf Act of 2002(Pub.L,f07-171)and 7 CFR Pat 718 The informafnn wdl be used!o legalty document your opmion fo appdntmg an
<br /> attomey-in-lad,idenhly fhe person and aifhoidies granted to the appoinfee. Fum'shing the requested mforma(bn is voluntary,�however,/alure fo/urnsh the 2quesfed nlormation wUl result in
<br /> the individual or enfity not be able fo ad asyour attomeyan-fad. Th�s information may be provded to other agendes,IRS,DepaRmert olJustice or other State and Federallaw enlorcement
<br /> agenaes,and in response to a couR mag'strate oradmmistrative fribunaL The proNsions ofrnminal and civil/rautl statutes,ncluding 18 USC 28Q 2A7,371,651,1001;15 U5�714m;and 31
<br /> USC 3729,may be a{pNcable to the infortnation provided.
<br /> Accordinq fo the Paperwork Redudion Ad o/1995,an agency may not condud o�sponsor,and a{.erson is not 2q�ired to respond tq a collection o/inlormatpn unkss it displays a valid OMB
<br /> confrol number. The�elid OMB control numberfor fhis informafan codedion is 0560-0190. The time requ�2d fo compkte fhis inlormatbn aollecfion is estimated to average 15 minutes per
<br /> response,incNding the time Iorreviewing instrudions,searching existing data sources,gathemg and mantaining the dafa needed and compkGng and reNewing fhe coleciion ol informatan.
<br /> RETURN THIS COMPLETED FORMTO YDUR COUNTY FSA OFF/CE.
<br /> The U.S.Department ofAgricutlure(USDqI prohibifs discnmination�n all its programs and aYivities on the basis of race,cobr,nafional origin,age,disability,and where applcable,sex,marifal stafus,/amilial
<br /> s(atus,parenta/status,refgion,sexual orienta6"on,geneti�in/ormalion,poNtical beNefs,2prisal,or becau�all or part of an individual's mcome is dedved iiom any publc assistance prog2m. (Not al prohibited
<br /> bases appy to al/programs.) Persms with disabilities who require alternative means for mmmunication o/program nformation(8ralle,large pmt,audatape,etc.)should contact USDA's TARGET Center at
<br /> (202)720-2600(voice and TDD). To l!e a complaint oI discrimination,wrife fo USDA,Diredor,O/fice oI Civil Rights,1400 hdepeno�nce Avenue,S.W.,Washington,D.C.20250-941q or call(800)795-3271
<br /> (voice)or(202)720-6382(TDD). USOA is an equal opportunly providerand empbysr.
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