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201501589
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3/17/2015 3:49:49 PM
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3/17/2015 3:49:48 PM
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201501589
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />because Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATION'S NAME <br />RT OMAHA FRANCHISE, LLC <br />9b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SyINITIAL(S) <br />SUFFIX <br />9. NAME OF FIRST DEBTOR: Same as line 1a or 1b on Financing Statement; if line 1b was left blank <br />OR <br />— 10. DEBTOR'S NAME: Provide (10a or lob) only Qm additional Debtor name or Debtor name that did not fit in line lb 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 />OR <br />OR <br />11c <br />10a. ORGANIZATIONS NAME <br />10b. INDIVIDUALS SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(SyINIT AL(S) <br />10c. MAILING ADDRESS <br />CITY <br />11. ❑ ADDITIONAL SECURED PARTY'S NAME or ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (1la or 1lb) <br />11a. ORGANIZATION'S NAME <br />11b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(SyINITIAL(S) <br />STATE <br />POSTAL CODE <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 (if applicable) <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(if Debtor does not have a record interest): <br />14. This 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 />see attached legal description <br />17. MISCELLANEOUS: 47188438- NE-557 8694 - FIRST FRANCHISE CAPI First Franchise Capital Corporation File with: Hall County Register of Deeds, NE RT OMAHA FRANCHISE LLC <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />STATE <br />2 01501589 <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />Prepared by CT Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />
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