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201203294
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201203294
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Last modified
6/5/2012 4:40:27 PM
Creation date
4/26/2012 3:54:52 PM
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DEEDS
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201203294
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201203294 <br />UCC FINANCtNG STATEMENT AQDENDUM <br />FOLLQW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME QFFIRST DEBTOR (1a or1b) ON RELATED FINANCING STATEMENT <br />9a ORGANIZATIpN'SNAME <br />OR Bb. INDIYI[7U11L'S LA9T NAME FIRS7 NAME MII <br />RAINFORTH KEVIN <br />�o. r�sceu�weous: <br />9 � <br />11a <br />OR ..._ <br />MAIUNG <br />�EBTQR EXAGT FULL LE�A! NAME -3nsert <br />'ION'S NAME <br />'S LAST NAME <br />12. ADDITIONAL <br />12a. ORGMllZATIC <br />OR 12b. INDIVIDUAL'S <br />ADd'L INFO RE I 119. TYPE OF ORGANIZATIOIV <br />ORGAMZATION <br />OEBTOR <br />IRED PARTY'S or ASSIGNOR S/P'S <br />12c. h;1A1LING ADDRESS <br />13. This FINqNCING STATEMENT eovers tiMber hr be cut or <br />milateral, or is filed as a� fodure filing. <br />14. Descriptlon of real estate: <br />NE 1/4 SEC. 35 T-9N R-11 W, HALL COUNTY, NE <br />0 <br />15. Nams and addrsss � a RECORD OWNER nf abave-described real esta� <br />(rf �eG�hrr daes �rot have e reeord iMeresA: <br />MARY LANNING HOSPITAL <br />� THE ABOVE SPACE IS FOt4 FILING OFPICE USH ONLY <br />a or 1 � b) • dc noY ablireviata or combine names <br />CITY <br />11 f. JURISDICTION OF <br />MIQ�LE NAME <br />STATE POSTAL CODE <br />lON 11g. ORGANIZATIONAL I� i3, "rf any <br />� <br />or 12b) <br />MIDDLE NAME <br />CITY <br />16. Additional wBaleral deseriptiorr. <br />TRUST 17. Chalc gat)�C'rf applieable and eheek g.�iy one bax <br />Debtor is a Trust ar Trustee aeting witli resper.tto propsrty held in tTUSt a DecedenYs Estnta <br />18. ChetJc gp1Y � applicabie and check 41Jy one brnc <br />Debtor ia a TRANSMlfTiNG UTl LITY <br />Fited fh connecGon with a ManuFacturetl•Hame Transectian —efFectiv� 30 years <br />Filed in connec6on with a Pubt'�c-Finance Transaetion — affecdvo 3Q years <br />FILINt3 OFFfCE COPY — UCC FINANCWG STATEMENT AD�ENDUM {FORM UCC1Ad) {REV. Q5122102) <br />
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