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UCC FINANCING STATEMENT ADDENDUM <br />NAME OF FIRST DEBTOR (la or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S LAST NAME <br />Panowicz <br />MISCELLANEOUS: <br />FIRST NAME <br />Michael <br />MIDDLE NAME, SUFFIX <br />A <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. <br />OR <br />10. <br />11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - do not abbreviate or combine names <br />R <br />11a. ORGANIZATION'S NAME <br />11 b. INDIVIDUAL'S LAST NAME <br />11c. MAILING ADDRESS <br />11d. SEE INSTRUCTIONS <br />R <br />12a. ORGANIZATION'S NAME <br />12b. INDIVIDUAL'S LAST NAME <br />12c. MAILING ADDRESS <br />ADD'L INFO RE 111e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or [J as- extracted <br />collateral, or is filed as a IN fixture filing. <br />14. Description of real estate: <br />South Half (S112) of the North West Quarter (NW1 /4) and <br />the North Half (N1 /2) of the South West Quarter (SW1 /4) <br />Section 11 (11), Township Twelve (12) North, Range Eleven <br />(11) West of the 6th P.M., in Hall County, Nebraska <br />15. Name and address of a RECORD OWNER of above- described real estate <br />(if Debtor does not have a record interest): <br />FIRST NAME <br />CITY <br />11f. JURISDICTION OF ORGANIZATION <br />12. nADDITIONAL SECURED PARTY'S or n ASSIGNOR S /P'S NAME - insert only one name (12aor12b) <br />FIRST NAME <br />CITY <br />16. Additional collateral description: <br />ACKNOWLEDGEMENT COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />201305103 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />MIDDLE NAME <br />STATE <br />MIDDLE NAME <br />STATE <br />POSTAL CODE <br />11g. ORGANIZATIONAL ID #, if any <br />POSTAL CODE <br />17. Check or_ily if applicable and check only one box. <br />Debtor is a n Trust or n Trustee acting with respect to property held in trust or <br />18. Check o� if applicable and check o one box. <br />El Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction - effective 30 years <br />0 Filed in connection with a Public- Finance Transaction - effective for 30 years <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />NONE <br />Decedent's Estate <br />Harland Financial Solutions <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />