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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />because Individual Debtor name did not fit, check here O <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUALS SURNAME <br />BLANK <br />FIRST PERSONAL NAME <br />JAYNE <br />ADDmONAL NAME(SyINIT AL(S) <br />SUFFIX <br />9. NAME OF FIRST DEBTOR: Same as line 1a or 1 b on Financing Statement; if line 1 b was left blank <br />OR <br />— 10. DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Form UCC1) (use exact, fut 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 />10a. ORGANIZATION'S NAME <br />lob. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INmAL(S) <br />10c MAILING ADDRESS <br />11. ❑ ADDITIONAL SECURED PARTY'S NAME or ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (1la or 11b) <br />11a. ORGANIZATIONS NAME <br />11b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(SylNITIAL(S) <br />STATE <br />POSTAL CODE <br />OR <br />11c. <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. El 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 />CITY <br />14. This FINANCING STATEMENT: <br />16. Description of real estate: <br />PARCEL #: 400078600 <br />BLANK <br />1410 S LINCOLN ST <br />GRAND ISLAND NE 68801 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />201504 , 19g <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />STATE <br />POSTAL CODE <br />0 covers timber to be cut ❑ covers as- extracted collateral / is filed as a fixture filing <br />SOUTH 70 FEET OF THE NORTH 1/2 OF THE EAST 1/2 OF BLOCK 11, <br />PLEASANT HOME SUBDIVISION TO THE CITY OF GRAND ISLAND, HALL <br />COUNTY, NEBRASKA. <br />17. MISCELLANEOUS: 48727224-NE-557 25676 - US CREDIT INC US CREDIT File with: Hall County Register of Deeds, NE 1278530 <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 />