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201303859
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Last modified
5/16/2013 9:01:25 AM
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5/16/2013 9:01:25 AM
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DEEDS
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201303859
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INANCING STATEMENTAMENDMENT <br />i Cf f I INSTRUCTIONS (front and back) CAREFULLY <br />CO E & PHONE OF CONTACT AT FILER [optional] <br />)- 648 -8026 MORGAN CUMMINGS <br />— 2. <br />3. <br />i♦ <br />i0 <br />) ACKNOWLEDGMENT TO: (Name and Address) <br />tu <br />L <br />DIVERSIFIED FINANCIAL SERVICES, LLC <br />14010 FNB PKWY, STE. 400 <br />OMAHA, NE 68154 <br />1 a. INITIAL FINANCING STATEMENT FILE # <br />0200806174 HALL COUNTY, NE 07/18/08 <br />191, ▪ 1119 P <br />r- { <br />CD <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement. <br />CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law. <br />4. ❑ ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in item 7c; and also give name of assignor in item 9. <br />5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor Q ❑ Secured Party of record. Check oMy gP$ of these two boxes. <br />Also check ane of the following three boxes anst provide appropriate information in items 6 and /or 7. <br />CHANGE name and /or address: Give current record name in item 6a or 6b; also give new DELETE name: Give record name <br />name if name chan a in item 7a or 7b and /or new address if address chan•e in item 7c. to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S LAST NAME <br />WAGONER <br />FIRST NAME <br />SIMON <br />MIDDLE NAME <br />OR <br />7. CHANGED (NEW) OR ADDED INFORMATION: <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S LAST NAME <br />MAILING ADDRESS <br />TAX ID #: SSN OR EIN <br />ADD'L INFO RE 17e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />FIRST NAME <br />CITY <br />7f. JURISDICTION OF ORGANIZATION <br />MIDDLE NAME <br />STATE <br />POSTAL CODE <br />7g. ORGANIZATIONAL ID #, if any <br />n <br />OR <br />7c. <br />7d. <br />8. AMENDMENT (COLLATERAL CHANGE): check only Ong box. <br />— Describe collateral deleted or added, or give entireDrestated collateral description, or describe collateral assigned. <br />SEE ATTACHED ADDENDUM(S): <br />OR <br />10.OPTIONAL FILER REFERENCE DATA <br />109 - 0159952 -001 <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98) <br />r— <br />CID <br />IU <br />r >> <br />i This FINANCING STATEMENT AMENDMENT is <br />n n to be filed [for record] (or recorded) in the <br />I' REAL ESTATE RECORDS. <br />ADD name: Complete item 7a or 7b, and also <br />item 7c also com.lete items 7d -7 ! if a..licabl <br />adds collateral or adds the authorizing Debtor, or If this is a Termination authorized by a Debtor, check here n and enter name of DEBTOR authorizing this Amendment. <br />SUFFIX <br />SUFFIX <br />COUNTRY <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor which <br />9a. ORGANIZATION'S NAME <br />DIVERSIFIED FINANCIAL SERVICES, LLC <br />9b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />rn <br />N <br />a <br />rn <br />N rn <br />f J <br />C7 Co <br />w <br />co <br />(xi 70 <br />rn <br />-4 <br />NONE <br />
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