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OR <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />N <br />0 <br />0 'INANCING STATEMENT <br />0) INSTRUCTIONS <br />IV : & PHONE OF CONTACT AT FILER (optional) <br />OR <br />1 c. <br />1 <br />OR <br />3c. <br />1 <br />L CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />orizon Bank <br />ATTN: Janet L. Latimer <br />10841 N. 142nd Street <br />P.O. Box 447 <br />!Waverly, NE 68462 <br />2a. ORGANIZATION'S NAME <br />1 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />m Lte <br />d <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only gn@ Secured Party name (3a or 3b) <br />obligations pursuant to a Promissory Note effective as of May 1, 2014 between Debtor and Assignor. <br />ti <br />s <br />co <br />1— • <br />C -) <br />CD <br />(0O <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only gna Debtor name (la or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 1b, leave all of item 1 blank, check here El and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />1a. ORGANIZATION'S NAME <br />Shady Bend Villas, LLC <br />1b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />834 W. 7th Street <br />FIRST PERSONAL NAME <br />CITY <br />Grand Island <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68803 -4600 <br />4. COLLATERAL: This financing statement covers the following collateral: <br />All of Debtor's interest in fixtures located on the real estate described in paragraph 16 of the Addendum, and Debtors <br />SUFFIX <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); If any part of the Individual Debtor's <br />name will not fit in line 2b, leave all of item 2 blank, check here and provide the Individual Debtor information In item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />3a. ORGANIZATION'S NAME <br />Horizon Bank <br />3b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />0841 N. 142nd Street, P.O. Box 447 <br />FIRST PERSONAL NAME <br />CITY <br />Waverly <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68462 <br />SUFFIX <br />COUNTRY <br />USA <br />5. Check gp(y if applicable and check gply one box: Collateral Is 0 held in a Trust (see UCC1Ad, item 17 and Instructions) IZI being administered by a Decedent's Personal Representative <br />8a. Check 201yi if applicable and check only one box: 6b. Check only if applicable and check g01y one box: <br />0 Public - Finance Transaction 0 Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility 0 Agricultural Llen ❑ Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (If applicable): ❑ Lessee/Lessor 0 Consignee/Consignor 0 Seller /Buyer 0 Bailee/Bailor ❑ Llcensee/Llcensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />International Association of Commercial Administrators (IACA) <br />0 <br />