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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />KLEEB <br />FIRST PERSONAL NAME <br />KELVIN <br />E <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />9. NAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />OR <br />10. DEBTOR'S NAME: Provide (10a or 10b) only ane additional Debtor name or Debtor name that did not fit in line 1b or 2b of the Financing Statement (Form UCC1) (use exact, full name; <br />— do not omit, modify, or abbreviate any part of the Debto(s. name) and enter the mailing address in line 10c <br />R <br />10c. MAILING ADDRESS <br />11. ] ADDITIONAL SECURED PARTY'S NAME QL <br />11a. ORGANIZATION'S NAME <br />11b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />POSTAL CODE <br />OR <br />11c. <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />12, ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. © This FINANCING STATEMENT is to be filed [for record) (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(if Debtor does not have a record Interest): <br />KELVIN E. KLEEB, TRUSTEE <br />SUSAN ALLAN KLEEB, <br />TRUSTEE <br />17. MISCELLANEOUS: <br />CITY <br />201309199 <br />THE ABOVE SPACE I8 FOR FILING OFFICE USE ONLY <br />STATE <br />POSTAL CODE <br />ASSIGNOR SECURED PARTY'S NAME: Provide only gpftname (11a or 11b) <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />14. This FINANCING STATEMENT: <br />❑ covers timber to be cut ❑ covers as- extracted collateral ® Is filed as a fixture filing <br />16. Description of real estate: <br />N 1/2 OF SW 1/4 SEC. 21, T -10N R -10W 80 ACRES, HALL COUNTY, NE <br />UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />