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Ott <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. TAX ID #: SSN OR EIN <br />ADD'L INFO RE 111e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR I <br />11f. JURISDICTION OF ORGANIZATION <br />11g. ORGANIZATIONAL ID #, if any <br />(� <br />I NONE <br />12.1 <br />OR <br />ADDITIONAL SECURED PARTY'S 17 ASSIGNOR S /P'S NAME - insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />First Dakota National Bank <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />225 Cedar St <br />CITY <br />Yankton <br />STATE <br />SD <br />POSTAL CODE <br />57078 <br />COUNTRY <br />USA <br />13. This FINANCING STATEMENT covers . timber to be cut or <br />collateral, or is filed as a , fixture filing. <br />14. Description of real estate: <br />See Exhibit A <br />15. Name and address of a RECORD OWNER of above- described <br />(if Debtor does not have a record interest): <br />, as- extracted <br />real estate <br />16. Additional collateral description: <br />17. Check only if applicable and check gray one box. <br />Debtor is a n Trust or n Trustee acting with respect to property held in trust or Decedent's Estate <br />18. Check g.Oly if applicable and check only one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction — effective 30 years <br />Filed In connection with a Public- Finance Transaction — effective 30 years <br />UCC FINANCING STATEMENTADDENDUM <br />AME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S LAST NAME <br />Panowicz <br />MISCELLANEOUS: <br />FIRST NAME <br />John <br />MIDDLE NAME,SUFFIX <br />A <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. N <br />OR <br />10. <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- insert only one name (11a or 11b) - do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />201305954 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />