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�012090�7 <br />UCC FINANCING STATEMENT AQDENQUM <br />FOLLOW INSTRUCTIONS (front and backl CAREFULLY <br />9. NAME OF FIRST QEBTOR (1a or1b) QN RELATED FINANCINO STATEMENT <br />9a. ORC3APlIZATION'S NAME <br />OR <br />Bb. INDNIDUAL'S LAST NAME F62ST NAME MII <br />HARGENS MARTIN <br />10. M11dSCELLANEOUS: <br />C <br />i t. ADDITIQNAL DEBTOR'S EXACT FULL LEGAL NANE - Insert <br />11 a. ORGANRATION'S NAME <br />OR 116.INDMDUAL'SLASTNAME <br />11 c. MNIJNO /�l]pRES9 <br />11d.SEEINSTRUCT10N5 ADD'LINFORE 11aiYPEaFORGANIZ, <br />ORGANIZATION <br />QEBTOR <br />12. ADDITIONAL SECUREQ PARTY'S � ASSIGNO <br />1 �. ORGAN¢ATION`S NAME <br />OR <br />� THE ABOVE 5PAC8 IS FORPILING OFPICE USH ONLY <br />ot'I'Ih) - do wt et�r�late or canbina nem� <br />[`i�trL <br />TION I'11f JURIu�ICT10NOFOROANIZATIC <br />� <br />� S/P�u� NAME - ir�sett oniv one name t12a or <br />12b. INbIVfOUAL'S LHST NAME FlRST NAME <br />'12c. MAIUNG AODRESS CITY <br />13. This FINANCINO 3TATENIENT eovers timber tr� ba out ar asextracted 16. Add�ionel cota�rel descriptnn� <br />mtlateml, or is filad es e� fnAure fipng. <br />14. Deseriptlun oF real �tate' <br />SE 1/4 SEC. 25 T-12N R-12W, HALL COUNTY, NE <br />MIDDIE NAME <br />1g. OR�ANIZATIONAL IQ t{, ff any <br />STATE <br />f.bS,Til� <br />15. Name and address af a RECORD OWNER of �described real sst�te <br />Qf Dektor does not have a racord interasQ: <br />LOUISE FORD <br />M HARGENS 17. Check p�Jy ff applicabie and check gnJy ons bm�. <br />M MADSEN Debtnr is s Trust a T�ustee acting with respect to pmpeiiy held in trust or <br />18. Check,qp� if appliarble antl chsckgp�y one box. <br />Oehfor Ia a TRANSMITTNIG UTILITY <br />Filed Im m�nacEon with a Manufactured•Hume TransecUon — sRecdve 30 yreare <br />Filed in �nnec5on with a PubliaFinarue TransaGion — effetdvs 30 yeazs <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1A� (REV. OSl22162) <br />SUFFIX <br />Estete <br />