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OR <br />11 a. ORGANIZATION'S NAME <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 a MAILING ADDRESS <br />CITY <br />11f.JURISDICTIONDFORGANIZATION <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. SEEINSTRUCTIONS <br />ADD' INFO: RE Ill aTYPE OFORGANIZATION <br />ORGANIZATION <br />DEBTOR I <br />11g.ORGANI7ATIONALID0,Ifany <br />II NONE <br />12. -. 3 <br />OR <br />ADDITIONAL SECURED <br />PARTY'S at I 1 ASSIGNOR S/P'S NAME - Insertonlygn 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 <br />collateral, or is filed as a 2 fatire <br />14. Description of real estate: <br />NE 1/4 SEC. 18 T -9N R -124, <br />15. Name and address : of a.RECORD <br />(d Debtor does not have a record <br />LOREN D. GRIESS <br />II <br />tiling. <br />HALL <br />OWNER. <br />interest): <br />timber to be cut or ❑ as-extracted <br />COUNTY, NE <br />of above- deacdbed mat estate <br />16. Additional collateral description: <br />1 <br />SUSAN L. GRIESS <br />17. Cheek gay If applicable and check 'gnli one box. <br />Debtor is a nTruat or n Trustee actin with respect to property held in trust or flDecedent's Estate <br />18. Check only if applicable and check � one box <br />S Debtor IS a TRANSMTTTINGUfUTY <br />I <br />I Filed in connection with a Manufactured-Home Transaction — effective 30 years <br />I Filed In connection with a Publb¢hrance Transaction -- effacer. 90 years <br />UCC FINANCING STATEMENT ADDENDUM <br />NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT <br />Pa. ORGANIZATIONS NAME <br />Pb. INDIVIDUAL'S LAST NAME <br />MONSON <br />MISCELLANEOUS: <br />FIRST NAME <br />ANDREW <br />MIDDLE NAME,SUFFIX <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. <br />OR <br />10. <br />1 1 A D E XACT FULL LEGAL NANE- inaaR only pn$ name {11 a or 11.b) • do not abbreviate or combine names <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCCIAd) (REV. 05/22/02) <br />201301939 <br />THE BOVE:SPACE IS FOR PILING OFFICE USE ONLY <br />