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m <br /> 73 N n- -I <br /> m o ODD <br /> n= 7 w Zm N) m <br /> 0 m o0 <br /> w o �O <br /> ZD r -nz o (A <br /> m z <br /> NANCING STATEMENT AMENDMENT m m m D D 0) <br /> sISTRUCTIONS 1'l 0 0 Cl) Cal c <br /> PHONE OF CONTACT AT FILER(optional) 0 (f) <br /> Ostermeier 308-382-3136 °o <br /> CO <br /> CONTACT AT FILER(optional) O N <br /> CO <br /> 3o3Lci meier @equitableonline.com 0 <br /> C.SEND ACKNOWLEDGMENT TO: (Name and Address) <br /> F---Equitable Bank <br /> Attn: Stacey Ostermeier <br /> PO Box 160 <br /> Grand Island,NE 68802-0160 <br /> L <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> 1 a INITIAL FINANCING STATEMENT FILE NUMBER 1b.2 This FINANCING STATEMENT AMENDMENT is to be filed[for record] <br /> 200315984 Filed 12/12/03 (or recorded)in the REAL ESTATE RECORDS <br /> Filer.attach Amendment Addendum(Form UCC3Ad)and provide Debtors name in item 13 <br /> 2.❑TERMINATION:Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s)of Secured Party authorizing this Termination <br /> Statement <br /> 3.❑ASSIGNMENT(full or partial): Provide name of Assignee in item 7a or 7b,and address of Assignee in item 7c and name of Assignor in item 9 <br /> For partial assignment,complete items 7 and 9 and also indicate affected collateral in item 8 <br /> 4.©CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s)of Secured Party authorizing this Continuation Statement is <br /> continued for the additional period provided by applicable law <br /> 5.❑PARTY INFORMATION CHANGE: <br /> Check one of these two boxes: AND Check one of these three boxes to: <br /> CHANGE name and/or address: Complete ADD name: Complete item ,--, name: Give record name <br /> This Change affects El Debtor or Secured Party of record Li item 6a or 6b;and item 7a or 7b and item 7c ®7a or 7b,and item 7c to be deleted in item 6a or 6b <br /> 6. CURRENT RECORD INFORMATION: Complete for Party Information Change-provide only one name(ea or 6b) <br /> • <br /> 6a.ORGANIZATION'S NAME <br /> OF; 6b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> Keown Larry D <br /> 7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change-provide only one name(7a or7b)(use exact,full name;do not omit,modify,or abbreviate any part of the Debtors name) <br /> 7a.ORGANIZATION'S NAME <br /> OP 7b.INDIVIDUAL'S SURNAME <br /> INDIVIDUALS FIRST PERSONAL NAME <br /> INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> 7c. MAILING ADDRESS CITY STATE 'POSTAL CODE COUNTRY <br /> 8.❑COLLATERAL CHANGE: Also check one of these four boxes: 0 ADD collateral 0 DELETE collateral El RESTATE covered collateral El ASSIGN collateral <br /> Indicate collateral: <br /> Legal Description: Lot 13 and the N1/2 of Lot 14,having a Lakefront footage of 119',more or less,situated on the West side <br /> of the West Portion of Kuester Lake,and being on a part of the E 1/2 SW 1/4 of Section 13,Township 11 North,Range 9, <br /> West of the 6th P.M.,Hall County,Nebraska <br /> 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name(9a or 9b)(name of Assignor,if this is an Assignment) <br /> If this is an Amendment authorized by a DEBTOR,check here ❑and provide name of authorizing Debtor <br /> 9a.ORGANIZATION'S NAME <br /> Equitable Bank <br /> OR • <br /> 9b.INDIVIDUALS SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> 10.OPTIONAL FILER REFERENCE DATA: <br /> 0010 <br /> International Association of Commercial Administrators(IACAI <br /> FILING OFFICE COPY—UCC FINANCING STATEMENT AMENDMENT(Form UCC3)(Rev.04/20/11) <br />