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FINANCING STATEMENT AMENDMENT <br />V INSTRUCTIONS (front and back) CAREFULLY <br />E & PHONE OF CONTACT AT FILER [optional] <br />D ACKNOWLEDGMENT TO: (Name and Address) <br />Cornerstone Bank <br />1631 16th St <br />Central City, NE 68826 <br />L <br />la. INITIAL FINANCING STATEMENT FILE # <br />Instrument #0201107443 <br />z <br />CT) <br />CT) <br />N) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1 b. This FINANCING STATEMENT AMENDMENT is <br />r - N to be filed [for record] (or recorded) in the <br />I11 REAL ESTATE RECORDS. <br />2. 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 />3. 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 lA Debtor or 0 Party of record. Check only one of these two boxes. <br />Also check 9Jg of the following three boxes 6114 provide appropriate information in items 6 and /or 7. <br />CHANGE name and /or address: Please referto the detailed instructions DELETE name: Give record name <br />in regards to changing the name /address of a party. ❑ 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 />Panowicz <br />FIRST NAME <br />Patricia <br />MIDDLE NAME <br />OR <br />7. CHANGED (NEW) OR ADDED INFORMATION: <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S LAST NAME <br />Panowicz <br />MAILING ADDRESS <br />288 W White Cloud Rd <br />SEF INSTRUCTION <br />ADD'L INFO RE 17e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />FIRST NAME <br />Patti <br />CITY <br />Cairo <br />7f. JURISDICTION OF ORGANIZATION <br />MIDDLE NAME <br />M <br />STATE <br />NE <br />POSTAL CODE <br />68824 -9760 <br />7g. ORGANIZATIONAL ID #, if any <br />OR <br />7c. <br />10 <br />7d <br />8. AMENDMENT (COLLATERAL CHANGE): check only era box. <br />— Describe collateral ❑ deleted or ❑ added, or give entire restated collateral description, or describe collateral [I assigned. <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 />Cornerstone Bank <br />9b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />OR <br />adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here 11 and enter name of DEBTOR authorizing this Amendment <br />10,OPTIONAL FILER REFERENCE DATA <br />❑ ADD name: Complete item7a or7b, and also item7c: <br />also complete items 7e -7g (if applicable). <br />SUFFIX <br />SUFFIX <br />COUNTRY <br />USA <br />SUFFIX <br />NONE <br />Intemational Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 05/22/02) <br />0 <br />