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M, <br />: . ._ <br />2��2�63��, <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCT ( and back CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />�ALLAN �GEORGE �D <br />10. MISCELLANEOUS: <br />� THE ABOVE SPACE 13 FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR EXACT FULL LEGAL NAME - inaert onlv one neme (11e or 11b) - do not ebbreviate or combine names <br />OR ��b.INDMDUAL'SLASTNAME FIRSTNAME <br />11d. SEE INSTRUCTIONS ADD'L INFO RE I 11e. TYPE OF ORGANIZATION I11f. JURISDICTION OF ORGANI7AT70N I718• ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />12. ADDITIONALSECUREDPARTY'S or ASSIGNORS/P'S NAME-insertonlvonenamell2aor1wl <br />OR <br />13. This FINANCING STATEMENT coversu Umber ta be cut or I I as-extracted 16. Additlonal collaterel descrip8on: <br />LJ <br />collataral, or is filed as a� flMure flling. <br />14. Descripdon of real estete: <br />Sl/2SW1/4 21-10-10, Hall County, Nebraska <br />EXCEPT THEREFROM Lots 1 and 2, Fritz Second <br />Subdivision, Hall County, Nebraska. <br />15. Neme end eddress of a RECORD OWNER ot abovadescribed real esfete <br />(ff Debtor doea not have a record interest): <br />17. Chedc Qply if applfcabte and check gIlly one box. <br />Debtar Is e Trust or Trustee acting with resped to property held in Wst or DecedenNs Estate <br />18. Chedc gpJy if applicable and check g�y one box. <br />Debtor la a TRANSMITTING UTILITY <br />Filed in connectlon with e Menufech�red-Home Trensaction <br />Flled in connecUon with a Publfc-Finence Traneacdon <br />Intemational AssociaGon of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09) <br />