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OR <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUALS FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />1Oc. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />LJ ADDITIONAL SECURED PAR'TYS NAME or • ASSIGNOR SEC UR ED PARTY'S NAME: Provide only gpg name (115or11b) <br />1 1a. ORGANIZATION'S NAME <br />11 b. INDIVIDUAL'S SURNAME <br />— <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(E)ANITIAL(S) <br />SUFFIX <br />11c. :rllt!!UNS-Pi$DRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />OR <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />because Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATION'S NAME <br />90. INDIVIDUAL'S, SURN AME"""' <br />M8i1&wlc2 <br />FIRST PERSONAL NAME <br />Matthew <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />9. NAME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left Wank <br />10. DEBTOR'S NAME: Provide (10a or 10b) only g additional Debtor name or Debtor name that did not flt in line 10 or 2b of the Financing Statement (Form UCC1) (use exact, full name; <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />10a. ORGANIZATION'S NAME <br />201500810 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. © This FINANCING STATEMENT is to be filed (for record) (or recorded) in the <br />REAL ESTATE RECORDS (1f applicable) <br />15. Name and address of a RECORD OWNER of real estate described in item 15 <br />(if Debtor does not have a record interest): <br />State Nebraska, Soldier's Home <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY -- UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04120/11) <br />14. Thls FINANCING STATEMENT: <br />❑ covers timber to be cut ❑ covers as- extracted collateral ❑ is filed as a fixture filing <br />16. Description of real estate: <br />Northwest Quarter (NW114) of Section Five (5), Township Eleven (11) North, <br />Range Nine (9) West of the Sixth P.M. in Hall County, Nebraska. <br />D+H <br />400 S.W. 9th Avenue, Portland, Oregon 87204 <br />