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201204228 <br />UCC FINANCING STATEMENT ADDENDUM <br />rot.I Ow INSTkuCTIONS front and hack CAWI- ub I v <br />U. NAME OF FIRST DCB IOR (Ia or 1b) ON RELATED FINAN(.TN(, STATEMENT <br />OR <br />Brockhaus I Steven I T. <br />1n. <br />SPACE I5 FOR FILM13 OFFICE USE ONLY <br />11. ADD111ONAL DEBTOR'S EXACT rl n I Fr.41 N4AJc <br />OR <br />11a. ORrSANVA'gnN'S NAME <br />"- <br />_ <br />11b. INDIVIbtim)SLASTNAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />Brockhaus <br />Stacey <br />R. <br />11 c. MAILING AbuRRSS <br />CITY, <br />STATE <br />POSTAL CODE <br />COUNTRY <br />44120 250th Ave. <br />Humphrey <br />Nl+: <br />68642 <br />LISA <br />iiJ. srr INS7RY.�,TION3 <br />tle TYrE or tANVAnON <br />11f. JURISDIC,TION pF ORGANIZATION <br />1Ig.... <br />g. ORGANVAiI<INAI, lu g,nanY <br />GI�GANHZATIE <br />NGNF <br />12. <br />j ADUIrIONALSECUh?EOPARTY'S Rf ASSIGNORS/P'S <br />NAME - mueoonlyg ria na (12a or 12b) <br />12a.ORGAN2n nanr'(a NAME <br />OR <br />12b. INDIVIDUAL:,, I AR I' NAME <br />__..,..,... <br />F""" <br />IRSTNAME <br />'- <br />MIDDLE NAME <br />tiilr-I-IX <br />12c. MAILIN[9 AnDRESS_. _...._.._„�,...— <br />CIFY <br />STATE <br />PotiIAI cnr?E <br />COUNTRY <br />13. 1'nrF FINANCING STATEMFNr m„era limber to be rut or11 exbacrcd <br />1q. Ad0111onal collalerel description: <br />tt+llalnral, or is flim n;, n a fixture filing. <br />14. Description or real aslale: <br />S1/2 N1/2 SW I/4 .&. N1/2 5112 SWI/4 of 21 -9N -12W, <br />hall Co., Nebraska. <br />Sl/2 NWI/4 and SW1/4 of 19-1 IN -12W, Hall (:o., <br />Nebraska. <br />15. Noma and aUJrcss of a RFI;ORD OWNER or ahnvwneerrlhed real eslatc <br />pt uantnr Jues rmt have n rapid inlemsp: <br />17. eherk VNx irauplicable and check DDly one box. <br />Debtor is a Trust .,Fl Iructeu apllny with raWuU <br />W pruperty held in trust o Dmm�rtnry <br />-:1ntu <br />18. Check pply It eppticame mw ejbi, eynlyone box. <br />Debtor is a TRANSMIT r,NC UTILITY <br />filed im m.nectrnn with a Manuraclurad-Huns Transaofion <br />Flied in an)11adion with a PublicFrnirm Iranxaenoh <br />lnrematlnnnl ASSCCIatIOn of Commercial Administrators (IACA) <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UWAd) (REV. 05121!00) <br />