AD-1158 Subordination Agreement and Limited Lien Waiver

OMB NO. 0578-0013

U.S. DEPARTMENT OF AGRICULTURE

SUBORDINATION AGREEMENT AND LIMITED LIEN WAIVER

1. To be completed by NRCS; check appropriate box:

2. AGREEMENT NO.:

This transaction is for CCC
This transaction is for NRCS

This Subordination Agreement and Limited Lien Waiver, effective (3.)

, is signed by
(4.)
(indicate person or person signing this document or party on whose behalf the document is signed ) "Subordinating Party" who hereby
grants, to the extent specified in Part II of this document, the following subordination and limited lien waiver to the United States of
America (United States) by and through the Natural Resources Conservation Service or the Commodity Credit Corporation, as
indicated above. The property described below is encumbered with an easement as described in the attached Warranty Easement
Deed.
This easement are is located in the County (Borough or Parish) of (5.)
and State of (5a.)
and is identified as follows:
6. Easement Area. The property encumbered by the Federal easement is described as follows: (Provide a legal description of the
land comprising the easement area or recordable plot).

PART I - GENERAL TERMS
A. Authority. This Subordination Agreement and Limited Lien Waiver is acquired by the United States under the authority of
7 U.S.C 428a.
B. Purposes. This Subordination Agreement and Limited Lien Waiver is required by the United States in connection with its
acquisition of an easement over the property described above to ensure that the easement area is maintained to promote wetland
functions and values.
C. Duration of Easement and this Subordination Agreement and Limited Lien Waiver. The easement and subordination and
limited lien waiver shall continue for the duration of the easement deed.
PART II - SUBORDINATION AGREEMENT AND LIMITED LIEN WAIVER
The Subordinating Party: (1) subordinates its interest in the property described herein to the easement of the United States
for the same property which is conveyed to the United States in the easement; (2) acknowledges that the property which contains the
easement area is burdened by the right of access granted to the United States in the easement and agrees that this right of access shall
be superior to any rights of the Subordinating Party; (3) subordinates its interest in the property to the purposes of the easement and
any easement practices adopted pursuant to such purposes; and (4) agrees that the United States may make payments in connection
with the easement deed without regard to any lien or claim that the Subordinating Party may have with respect to any person with an
interest in the easement area, unless an assignment of such payment has been made to the Subordinating Party on a form approved by
the United States.

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AD-1158
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OMB NO. 0578-0013

This Subordination Agreement and Limited Lien Waiver: (1) binds the Subordinating Party and its heirs, agents, assigns,
and successors with respect to the interests that the Subordinating Party and such other persons have, or may have, in the property or
against any person having an interest in the property; and (2) inures in favor of the United States and its assigns of any kind.

7 a.

Signature Authorizing Rep. of Sub. Party

7 b. Date:

7 c. Title:

8. (INSERT ACKNOWLEDGEMENT STATEMENT BY NOTARY IN ACCORDANCE WITH STATE OR LOCAL PRACTICE)

OMB DISCLOSURE STATEMENT
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0578-0013. The time required to complete this
information collection is estimated to average 49.5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
NONDISCRIMINATION STATEMENT
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its program and activities on the basis of race, color, national origin, age, disability, and
where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of
an individual's income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require
alternative means for communication of program information ( Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice
and TDD). To file a complaint of Discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington, DC 20250-9410, or
call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

PRIVACY ACT STATEMENT
The above statements are made in accordance with the Privacy Act of 1974 (5 U.S.C. 522a). Furnishing this information is voluntary; however, failure to furnish
correct, complete information will result in the withholding or withdrawal of such technical or financial assistance. The information may be furnished to other USDA
agencies, the Internal Revenue Service, the Department of Justice, or other State or Federal Law enforcement agencies, or in response to orders of a court, magistrate,
or administrative tribunal.

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AD-1158
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U.S. DEDEPARTMENT OF AGRICULTURE

OMB NO. 0578-0013
AD-1158

SUBORDINATION AGREEMENT AND LIMITED LIEN WAIVER

OMB BURDEN STATEMENT
Federal Agencies may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid
OMB control number. Public reporting burden for this collection of information is estimated to average 49.5 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden, to Department of Agriculture, Clearance Officer, OIRM (OMB NO. 0578-0013), Stop 7630, Washington, D.C. 20250-7630.