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201500510
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Last modified
4/14/2015 12:02:31 PM
Creation date
1/26/2015 3:40:56 PM
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DEEDS
Inst Number
201500510
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OR <br />lb. INDIVIDUAL'S SURNAME <br />Panowlcz <br />FIRST PERSONAL NAME <br />Robert <br />ADDITIONAL NAME(S) /INITIAL(S) <br />NI <br />SUFFIX <br />1c. MAILING ADDRESS <br />4525 N 110th RD <br />CITY <br />Cairo <br />STATE <br />NE <br />POSTAL CODE <br />68824 -9491 <br />COUNTRY <br />. 3§A <br />OR <br />2b. INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Jaime <br />ADDITIONAL NAME(S)/INITIAL(S) <br />L <br />SUFFIX <br />2a MAILING ADDRESS <br />4525 N 110th RD <br />CITY <br />Cairo <br />STATE <br />; +NE <br />POSTAL CODE <br />68824 - <br />COUNTRY <br />USA <br />B <br />N <br />CD <br />- <br />■almmIml FINANCING STATEMENT <br />rn —� V INSTRUCTIONS <br />IE & PHONE OF CONTACT AT FILER (optional) <br />iIL CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />Cornerstone Bank <br />PO Box 69 <br />529 N Lincoln Ave <br />LYork, NE 68467 -0069 <br />1, DEBTORS NAME: Provide only sae Debtor name (1a or lb) (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 lb, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <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 riot fit In fine 2b, leave all of Item 2 blank, check here ❑ and provide the Individual Debtor Information In item 10 of the Financing Statement Addendum (Form UCCIAd) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b <br />OR <br />la, ORGANIZATION'S NAME <br />2a, ORGANIZATION'S NAME <br />3a. ORGANIZATION'S NAME <br />CORNERSTONE BANK <br />3b, INDIVIDUAL'S SURNAME <br />3c. MAILING ADDRESS <br />1631 16th Street <br />5. Check ggly if applicable end check gay one box: Collateral is <br />8a. Check BONN if applicable and check only one box, <br />❑ Public-Finance Transaction • Manufactured•Home Transaction <br />7. ALTERNATIVE DESIGNATION (If applicable): ❑ Lessee /Lessor ❑ <br />8. OPTIONAL FILER REFERENCE DATA: <br />FIRST PERSONAL NAME <br />CITY <br />Central City <br />FILING OFFICE COPY UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />STATE <br />NE <br />n) <br />CO <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />A Debtor Is a Transmitting Utility ❑ Agricultural Lien <br />POSTAL CODE <br />68826 -1815 <br />Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor <br />r <br />SUFFIX <br />COUNTRY <br />USA <br />4. COLLATERAL: This financing statement covers the following collateral: <br />Purchase Money Security Interest In a Valley 7000 Three Tower Pivot with Corner System (Serial Number 11130454); underground pipe and <br />well; whether any of the foregoing Is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any <br />of the foregoing; all records of any kind relating to any of the foregoing. <br />held In a Trust (see UCCIAd, Item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative <br />6b. Check gay If applicable and check gply one box: <br />❑ Non -UCC Filing <br />❑ Licensee/Licensor <br />D+H <br />400 S.W. 16th Avenue, Portland, Oregon 97204 <br />i <br />CD <br />I c7 <br />r r'i <br />O to <br />7s? <br />C,0 <br />N 'c <br />O ,rn <br />A <br />n <br />
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