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UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT OR OR 11c. 11d. OR 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S LAST NAME Sullivan 10. MISCELLANEOUS: 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11 b) - do not abbreviate or combine names 11a. ORGANIZATION'S NAME 11 b. INDIVIDUAL'S LAST NAME MAILING ADDRESS TAX ID #: SSN OR EIN ADD'L INFO RE 1115. TYPE OF ORGANIZATION ORGANIZATION DEBTOR FIRST NAME 'CITY 11f. JURISDICTION OF ORGANIZATION MIDDLE NAME STATE POSTAL CODE 11g, ORGANIZATIONAL ID #, if any 12. ADDITIONAL SECURED PARTY'S or r 12 a. ORGANIZATION'S NAME b. INDIVIDUAL'S LAST NAME 12c. MAILING ADDRESS FIRST NAME Paul 13. This FINANCING STATEMENT covers ❑ timber to be cut or collateral, or is filed as a DC fixture filing. 14. Description of real estate: W112NW114 35 10 9 Hall County Nebraska 15. Name and address of a RECORD OWNER of above- describedreal estate (if Debtor does not have a record interest): 0 ASSIGNOR S /P'S NAME - insert only one name (12a or 12b) as- extracted FIRST NAME CITY MIDDLE NAME,SUFFIX E. 16. Additional collateral description: THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY MIDDLE NAME 20 1 401 080 STATE POSTAL CODE 17. Check 2 if appiicabie and check on�l one box. Debtor is a ❑ Trust or ❑ Trustee acting with respect to property held in trust or ❑ Decedent's Estate 18. Check zit if applicable and check o one box. ❑ Debtor is a TRANSMITTING UTILITY ❑ Filed in connection with a Manufactured -Home Transaction -- effective 30 years ❑ Filed in connection with a Public - Finance Transaction -- effective 30 years SUFFIX COUNTRY SUFFIX yU NONE COUNTRY FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) Bankers Systems, Inc., St. Cloud, MN Form UCC 1ADD - LAZ 6/30/2001