Laserfiche WebLink
OR <br />11 ORGANIZATIONS NAME <br />11b. 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. SEE INSTRUCTIONS <br />ADD'L INFO RE 111e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR 1 <br />lif. JURISDICTION OF ORGANIZATION <br />119. ORGANIZATIONAL ID ft, if any <br />NONE <br />12. <br />OR <br />1 ADDITIONAL SECURED PARTY'S Qt 111 ASSIGNOR SIP'S NAME - ins,* o011/51111 narne (I 2a 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 />1 This FINANCING STATEMENT covers <br />collateral, or is filed as a 3 fortis° filing. <br />14. Descripbon of real estatc <br />SW 1/4 SEC. 19 T-12N R-10W, HALL <br />15. Name and address of a RECORD OWNER <br />(if Debtor does not have a record interest: <br />THOMAS E. FAGAN <br />1 timber b be cut or <br />COUNTY, NE <br />of above-described <br />11 as-extracted <br />real estate <br />16. Additional collateral description: <br />DIANN EIGENBERG <br />GARY D & JAMES R FAGAN <br />17. Check ggly if applicable and check Qtly ore box. <br />Debtor is a n Trust or fl Trustee acting with respect to property held in trust or Decedent's Estate <br />TRUST <br />15. Check only if applicable and check stily one box <br />0 Debtor's a TRANSMITTING UTILITY <br />1 Filed in connection with a Manufactured•ficene Transaction — effecti ve 30 yews <br />1 Filed in connection with a Public-Finance Transaction — effective 30 years <br />AME OF FIRST DEBTOR (1 a or lb) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S LAST NAME <br />FAGAN <br />MISCELLANEOUS: <br />FIRST NAME <br />THOMAS <br />MIDDLE NAME,SUFFIX <br />E. <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and bank) CAREFULLY <br />9. <br />OR <br />10. <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAIVE - insert onl ona name 11a or 1 1 - do not abbreviate Or cornbine names <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />L <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />