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� • 4 G <br /> � I�] �� � <br /> rnm � c� rn <br /> o �� � � zrn � rn <br /> � �o rn , � �� � o <br /> o �z � C �� � � <br /> � �� � Z �z � � <br /> � (;]� � � _� [� Z <br /> LJ��FINAN�ING STATEMENT �� � � �� � � <br /> F�LL�W INSTRUCTIQNS rn m rn r y � <br /> C� � � CI] C3� C <br /> A.N A M E�P H O N E D F C�N T A C T A T F I L E R(v p t i o n a l} �p � � <br /> �� � � � <br /> B.E-MAIL C�NTACT AT FILER v tionai �� � �� Z <br /> t P � o p � U] � <br /> � � Z <br /> C.SEND AGKN�WLEDGMENT T0: {Name and Address} � <br /> �Horizon Bank � <br /> ATTN: Janet L.Laiimer <br /> 1�841 N.142nd Street <br /> P.U.Bog 447 <br /> �Waverly,NE 68462 � <br /> THE AB�VE SPACE 15 F�R FILING�FFtCE USE�NLY <br /> 1.❑EBT�R'S NAME: Pro�ide only p�g Debtor name{1 a ar 1 h][use exact,ful!r�ame;dv nvt vmit,modify,vr abbre►►iate any part vf the aebtvr's name};if any part of the�ndi�idual Debtv�s <br /> r�ame will r�ot fit in line 16,lea�e all of item 1 blank,check here �and pro�ide the Indi�idual❑ebtor informaficn in item 10 vf the Financsng 5tatement Addendum�Form UCC1Ad} <br /> 1�.ORGANfZAT��N'S NAME <br /> Shady Bend Villas,LL� <br /> �R Zb.INOlViDLJAL'S SURNAME FIRST PER50NAL NAME AD[]ITIQNAL NAME(S�I�NITIAL{5) 5UFF1X <br /> ic. MAiLiNG ADDRESS CITY STATE P�STAL C��E G4UNTRY <br /> 1534 W. 7th Street �rand Island NE 685�3-46�4 USA <br /> 2.DEBTQR'S NAME: Provlde onty r��eb#vr name{Za vr 2b}{use exact,full name;da nvt omit,modify,or ab�re�iate any part of the Debtar's name};ff any part vf the Individual Debto�s <br /> name wfll nat flt in Ilne 2b�laa�e afl of ltem�bfank,check here � and pro�ide the Indir�duaf Dehtor tnformatfon in item 1p pf the Financing Statsrnent Aalaendum�Fvrm UCC'IAd] <br /> �a.ORGANiIATE�N'S NAME <br /> �R 2h.lNDIVlDUAL'S SURNAME FIRST PER50NA�NAME AODITIONAL NAME{S�IINIT#AL{S} SLlFFiK <br /> �c. MAfLING ADt]RESS CITY STATE PaSTAL CODE CDiJNTRY <br /> 3.SECURED PARTY'S NAME{or NAME of A5SlGNEE of ASSIGNaR SEGURE❑PARTY): Pro�ide only�g 5ecured Party name t3a vr 3h) <br /> 3a.ORGANi�AT�DN'S NAME <br /> Horiz�n Bank <br /> �R 3b.fNDIV�DUA�'S SURNAME FIRST PERSONAL NAME ADD�TlONAL NAME�S]IINITIA��Sj SUFFIX <br /> 3c. MAILING AD�RESS CITY STATE PDSTAL CODE G4lJNTRY <br /> 1aS41 N. 142nd Street,P.�.Box 447 Wa�erly NE 6845Z USA <br /> 4.COLLATERAL: This financing statement ca�ers the#ollvwing caflateral: <br /> — All of Debtor's interest in figtures located an the real estate described in paragraph 16 of the Addendum,and Debtvrs <br /> obligat�vns pursuant to a Pramissory Note effecti�e as af May 1,ZU14 between Debtor and Assignor. <br /> 5.Check Qpjx if applica�le a�d check�Jy vne hox:Gv#latera�is held in a Trust{see UCC1Ad,item 17 and Instructions) being administered by a❑e�edent's Personal RepresentatNe <br /> fia.Check�,y if appficable and checic�one box: Sb.Check rQyy if applica�le and�heck�y vne bvx: <br /> � Pu�lic-Finance Transac#ivn �Manufactured-Hame Transac#ivn � A Debtor is a Transmittang Utility � Agricultural Lien �Non-l1CC Filing <br /> 7.ALTERNATIVE❑E5IGNATIQN�if applicable}: � LesseelLessor � CvnsigneelCans€gnor � SellerlBuyer � 6ai�eelBallor � Llce�►seelLicensnr <br /> 8.�PTEONAL F�LER REFERENCE DATA: <br /> lnterr7ational Assvc�ation vf Cammercial Administrators�IACA1 <br /> FELING OFFICE C�PY--UCC FINANCIN�STATEMENT{Form UGC1}{Re�.�412�111} <br />