Laserfiche WebLink
OR <br />11a. ORGANIZATION'S NAME <br />1lb. 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 />ADO'L INFO RE 11 e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR I <br />11 f. JURISDICTION OF ORGANIZATION' <br />11g. ORGANIZATIONAL ID ff, if any <br />III NONE <br />12. <br />OR <br />J ADDITIONAL SECURED PARTY'S a_1:1 ASSIGNOR S/P'S NAME • insert only= 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 3 fixture filing. <br />14. Description of real estate. <br />NW 1/4 OF SW 1/4 SEC. 15, T -12 <br />15. Name and address of a RECORD OWNER <br />(d Debtor does not have a record interest): <br />DONALD C. RASMUSSEN <br />, timber to be cut or <br />R -11, HALL COUNTY, <br />of real <br />■ as- extracted <br />NE <br />estate <br />16. Additional collateral description: <br />PETE RASMUSSEN <br />17. Check o;1ly if applicable and check mix one box <br />Debtor is a n Trust or n Trustee acting with respect to property held in trust or fl Decedent's Estate <br />1$. Check only if applicable and check rally one box <br />U Debtor isa TRANSMITTING U TIUTY <br />111 Filed in connection with a Manufactured-Horne Transaction — effective 30 years <br />IIII Filed In connection will a Public-Finance Transaction — effective 30 years <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1 a or lb) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATIONS NAME. <br />9b. INDIVIDUALS LAST NAME <br />PANOWICZ <br />MSCELLANEOUS: <br />FIRST NAME <br />MICHAEL <br />MIDDLE NAME,SUFFIX <br />OR <br />10. <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAIVE - insert onl y one name (i la or <br />b) - do not abbreviate or combine names <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1M) (REV. 05/22/02) <br />201304906 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />