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OR <br />lib. 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 />11d, SEEINSTRUCTION$ <br />ADD'L INFO RE 111 e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />lit JURISDICTION OF ORGANIZATION <br />11g. ORGANIZATIONAL ID 5, if any <br />1 NONE <br />12. <br />OR <br />ADDITIONAL SECURED PARTY'S gt I ASSIGNOR SIP'S NAME• insert only lone name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />1 2b INDNIDUAL'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 , as- extracted <br />collateral, or is filed as a 3 fixture filing. <br />14. Description of real estate: <br />N 1/2 OF NW 1/4 SEC. 5, T - 11N R - 11W, HALL COUNTY, NE <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest <br />KENNETH L & SANDRA K <br />MARET <br />BARRY L & JOLENE ANN <br />BUCHHOLZ <br />16. Additional colateral description: <br />17. Check only if applicable and check only one box. <br />Debtor isanTrust or n Trustee acting with respect to property held in trust ail Decedents Estate <br />■ <br />B. <br />II <br />® <br />IIII <br />Check only if applicable and check oily one box <br />Debtor** TRANSMITTING UTILITY <br />Filed In connection with a Manufactured -Home Transaction —: effective 3o years <br />Filed In connector with a Public -Finance Transaction -- effective 30 years <br />UCC FINANCING STATEMENT ADDENDUM <br />201301988 <br />9a ORGANIZATION'S NAME. <br />9b. INDIVIDUAL'S LAST NAME <br />STOLTENBERG <br />MISCELLANEOUS: <br />FIRST NAME <br />ROY <br />MIDDLE NAME,SUFFIX <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or lb) ON RELATED FINANCING STATEMENT <br />OR <br />10. <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only 41111 name (11a or 11b) • do not abbreviate or combine names <br />11. a ORGANIZATION'S NAME <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCCIAd) (REV. 05/22102) <br />