Laserfiche WebLink
OR <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)fINITIAL(S) <br />SUFFIX <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11.0 <br />OR <br />ADDITIONAL SECURED PARTY'S NAME sr 0 ASSIGNOR SECURED PARTY'S NAME: Provide only tins name (11a or 11b) <br />11a. ORGANIZATIONS NAME <br />11b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only we 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 snit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />AME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here 0 <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />Schroeder <br />FIRST PERSONAL NAME <br />Fred <br />ADDITIONAL NAME(S)IINITIAL(S) <br />D. <br />SUFFIX <br />9. <br />OR <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. m 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 />(11 Debtor does not have a record interest): <br />17. MISCELLANEOUS: <br />201505'785 <br />THE ABOVE SPACE 1S FOR FILNG OFFICE USE ONLY <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut 0 covers as extracted collateral WI is filed as a fixture filing <br />16. Description of real estate: <br />See Exhibit "A" hereto attached for copy of legal description. <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />