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UCC FINANGING STATEMENT ADDENDUM <br />FOLLOW IN5TRUCTIONS lfront and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (]a or1b) ON RELATED FINANCINO STATEMENT <br />9a ORGAN�ZATION'SNAME <br />OR <br />9b. INONIDUAL'S LA5T NAME Fq23T IdAN1E MII <br />DUBBS TERRY <br />10. NUSCELLANEOUS: <br />11. �4DDtFIONAL �EB1`OR'S E3U3CT FULL LEGAL NANE - <br />11 a. ORGANPATION'S NAME <br />OR 11b. WDIVIDUAL'SLASTNAME .....-- �-- <br />11 �. MNLINO ADDRE59 <br />11d. �EINSTRUCT10N5 ADD'L INFO RE 11 e. TYPE OF ORL <br />12. <br />- 12b. INDIVIDUAL'S I <br />'12c. MAILING ADORE55 <br />nams (11 a or 11b) - dn not <br />FIRST NAME <br />CITY <br />1'If. JURISQIC110N OF <br />� <br />i NAME . insett oniv onE <br />�0�200429 <br />THE ABOVE SPACE IS FOR FILING OFFtCE USE ONLY <br />cambfne names <br />NAME <br />1g. OR�ANIZATIONAL I� #, if any <br />2a or <br />13. This FINANCINQ STATEN1ENT covers ❑ tlmber hr be cut w❑ asexhacted 16. Additional caAaterei descriptzm� <br />m0ateral, or is fited fls e� fixture filing. <br />14. �escdption of real �tate� <br />NW 1/4 OF NW 1/4 SEC. 10, T-10N R-12W, HALL COUNTY, NE <br />0 <br />15. Name and address of a RECOR� OY4NER of ebw�e-described real estale <br />pf Dsbtar doas not heve a �awrd intsras�: <br />TERRY L. DUBBS <br />17. Cheek gulyif applicabls and eheek g�ly one box. <br />Debtor is a Trust � Trust� acdng with raspsct to propsAy held in trust ar Deceds�s Estate <br />18. Cheek �� applicable and check g,�y ane box. <br />�ahtor Is e TRANSMII'fING UTI LfiY <br />Flled Im m�nac6on with a Msnufactured•Hums Transectlo�* —eft�6ve 30 yeers <br />Filad in conneeUon with a Public.Finarne Transaedon — eftective 30 years <br />FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (FORM UCC1A� {REV. 05l22/02) <br />