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OR <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S) / INITIAL(S) <br />SUFFIX <br />7c. <br />4100 <br />MAILING ADDRESS <br />W 13th Street <br />CITY <br />Grand Island j <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />L <br />N <br />CA) <br />CO NANCING STATEMENT AMENDMENT I <br />ISTRUCTIONS <br />CO PHONE OF CONTACT AT FILER (optional) <br />Brown 308 - 389 -2600 <br />"ONTACT AT FILER (optional) <br />CKNOWLEDGMENT TO: (Name and Address) <br />....ate Valley State Bank & Trust Company <br />PO Box 5168 <br />Grand Island, NE 68802 ,V <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />0200610094 with cont'd # 201108487 <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 />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />lb This FINANCING STATEMENT AMENDMENT is to be filed [for record) <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer attach Amendment Addendum (Form UCC3Ad) and provide Debtor's name in item 13 <br />Check one of these two boxes: 6,1112 Check one of these three boxes to: <br />CHANGE name and /or address: Complete ADD name: Complete item DELETE name: - Give record name <br />This Change affects ❑ Debtor gr ❑ Secured Party of record ❑ item 6a or 6b; end item 7a or 7b end 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 (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />Third City Christian Church <br />6b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />OR <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only QtE. name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />7a. ORGANIZATION'S NAME <br />DELETE collateral <br />RESTATE covered collateral <br />8.21 COLLATERAL CHANGE: Alb check one of these four boxes: ❑ ADD collateral <br />Indicate collateral: <br />Description of Real Estate: Lot 1 of Grand West Subdivision, an addition to the City of Grand Island, Hall County, Nebraska <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gns name (9a or 9b) (name of Assignor, if this is an Assignment) <br />9a. ORGANIZATION'S NAME <br />Platte Valley State Bank & Trust Company <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) / INITIAL(S) <br />OR <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />10. OPTIONAL FILER REFERENCE DATA: <br />SUFFIX <br />ASSIGN collateral <br />SUFFIX <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />CO <br />CO <br />