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OR 19 a. ORGANIZATION'S NAME lib. INDIVIDUALS LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11 d. SEE INSTRUCTIONS ADD'L INFO RE 111 e. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 1 11f. JURISDICTION OF ORGANIZATION l l g. ORGANIZATIONAL ID #, if any 1 NONE 12. p ADDITIONAL SECURED PARTY'S gl N ASSIGNORS/P'S NAME - insert only SEg name {12aor12b) OR 12a. ORGANIZATION'S NAME 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 13. This FINANCING STATEMENT covers, briber to be cut or ..as collateral, or is filed as a ® fixture filing. 14. Description of real estate' NE 1/4 SEC. 3 T -10N R -12W, HALL COUNTY, NE 15. Name and address of a RECORD OWNER of above-described real (if Debtor does not have a record interest): -extracted estate 16. Additional coll ateral descripten GEORGE JR & DOLORES ALLAN 17. Check gply if applicable and check gnly one box. Debtor is a riTrust or 1 1 Trustee acting with respect to property held in trust or I I Decedent's Estate 18. Check gay it applicable and checkgaLy. one box. Debtor is TRANSMITTING UTILITY Filed In connection with a Manufaftured -Home Transaction — effective 30 years we _ Filed in connection wmh a Prarlic- Finance Transacbon — effective: 30 years UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT OR 1 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S LAST NAME DUBBS 10. MISCELLANEOUS: FIRST NAME DAVID MIDDLE NAME,SUFFIX G ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAIVE - Insert only ere name (11a or 1 1b) - do not abbreviate or combine names 201210467 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY FILING OFFICE COPY UCC FINANCING STATEMENT ADDENDUM (FORM UCCIAd) (REV. 05 /22/02)