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OR <br />11a. ORGANIZATION'S NAME <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />1Id SEE INSTRUCTIONS <br />ADD'L INFO RE 11le. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR I <br />11f. JURISDICTION OF ORGANIZATION <br />11g. ORGANIZATIONAL ID #, if any <br />n NONE <br />12. <br />OR <br />ADDITIONAL SECURED PARTY'S Qj1 ASSIGNOR S /P'S NAME - insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers. timber to be cut or <br />collateral, or is filed as a J fixture filing. <br />14. Description of real estate: <br />Part of the SW1 /4 SE1 /4 of Section 26, Township <br />North, Range 11 West of the 6th P.M., Hall <br />Nebraska <br />15. Name and address of a RECORD OWNER of above- described real <br />(d Debtor does not have a record interest): <br />Chester Felske <br />. as- extracted <br />12 <br />County, <br />estate <br />16. Additional collateral description: <br />9200 W Abbott Rd <br />Cairo, NE 68824 <br />17. Check only if applicable and check only one box. <br />Debtor is a n Trust or n Trustee acting with respect to property held in trust or Decedent's Estate <br />18. Check eft if applicable and check nnly one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction <br />Filed in connection with a Public- Finance Transaction <br />9. N <br />OR <br />10 . <br />ti <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (1la or 11b) - do not abbreviate or combine names <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09) <br />201 300034 <br />AME OF FIRST DEBTOR (la or 1 b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S LAST NAME <br />Perkins <br />MISCELLANEOUS: <br />FIRST NAME <br />James <br />MIDDLE NAME,SUFFIX <br />R <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />International Association of Commercial Administrators (IACA) <br />