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20�201313 <br />UCC FINA►NCING STATEMENTAQDENDUIVA <br />FOLLOWINSIRUCTIONS (trontand back) CAREFULLY <br />9. NAME OF FIFtST DEBTOR (1a or1b) ON RELdTED FINANCINO STATEN�NT <br />9a ORGANIZATION'SNAME <br />OR ` <br />8b. INDNIpUAL'S LAST NAME FIRST NAME MII <br />HARGENS RONALD G <br />10. MIBCELLAII�OUS: <br />I THE ABOV 3PAGB IS ROR FILONG OFI'�S:E US�E �lLY <br />11. ADDITIONAL DEB70R'S EXAGT FULL LEGr1L NA1V� . inseR oNy �p.@ nems (11a or'11b) - dd not el�rsvlate a cembina nemes <br />11 a. ORGANQATIONS NAME <br />OR <br />�!Tdil� <br />l?tl:�IfVSTRUGTION5 ppp'LWFORE I19e.TYPEOFORQANIZATION I1'If.JURl9[]IOTIONOFOROANIZATIC <br />OROANIZATION <br />�EBTOR <br />12. /1DDITIONALSECUREQ_PARTIPS Qt ASSIGNORS/P'S NAME <br />QR � <br />12a NIAILING ADQRESS ��y g7p7� <br />13. This FINANCIN� STATEMENT cnvers timber to be cut or as.exhected 76. Additicnal co9ateral descriptbn� <br />mltaterel, or is filed as a� fixhua filing. <br />14. Desedption of real es�te� <br />NE 1/4 SEC. 15 T-12N R-12W, HALL COUNTY, NE <br />� <br />15. Name eMd add�ess af a RECORD OWf�R of eba,+e-described real esta� <br />jff Debtor doaa nat have a rocord iMsrasq: <br />RONALD G HARGENS TRUSTEE <br />17. Cheek g,�y If applicabls and check gpdy one b�. <br />�ebtar is a Trust a Trust� acdng with rsspect to propsiiy held in hust nr DecadenYs Este2s <br />18. Check gnJy if applipble and check gp�y one box <br />Da4tor Is a 7RANSMi'fTWG UTIIITY <br />Flied In connecEnn wHh a Manutectured•Homs Traneactlon � eftacdve 30 yems <br />Fii� In connec5on wHh a Public-Financa Transaction — effecdve 30 yeara <br />FILING OFFICE CGPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCG1A� (REV. b5l221D2) <br />