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OR <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />7c. <br />MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />.. -. - - -, n ACCI,..1 <br />COUNTRY <br />__11„-r& <br />N �Iliti <br />0 <br />UT�e <br />CO _ _:'__ INANCING STATEMENT AMENDMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />OR <br />OR <br />_ CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />UtVERSIFIED FINANCIAL SERVICES, LLC <br />14010 FNB PKWY, SUITE 400 <br />OMAHA, NE 68154 - c424.4 <br />5, ❑ PARTY INFORMATION CHANGE: <br />7a. ORGANIZATION'S NAME <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />201301939 3/13/2013 HALL COUNTY , NE <br />8. ❑ COLLATERAL CHANGE: AJgg check grg, of these four boxes: U ADD collateral <br />10. OPTIONAL FILER REFERENCE DATA: <br />179063 -001 ADD'L DEBTOR: JARED MONSON <br />1 <br />J <br />2. ❑ TERMINATION: Effectiveness of the Financing Statement Identified above is terminated <br />Statement <br />DELETE collateral <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1b. ® This FINANCING STATEMENT AMENDMENT is to be filed [for record) <br />(or recorded) in the REAL ESTATE RECORDS <br />© Filer. attach Amendment Addendum (Form UCC3Ad) and provide Debtor's name in item 13 <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in Item 7a or 7b, atr gl address of Assignee in Item 7c flag( name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 ana also indicate affected collateral in item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />Check of these two boxes: AND Check gnfl of these three boxes to: <br />CHANGE name and /or address: Complete ADD name: Compl item DELETE name: r or record name <br />This Change affects El Debtor ix ❑Secured Party of record ❑ Item 6a or 6b; and item 7a or 7b And item 7c 7a or 7b, end ❑ be ad n item 6a <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only ma name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />MONSON <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change • provide only gng, name (7a Or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />FIRST PERSONAL NAME <br />ANDREW <br />ADDITIONAL NAME(S) / INITIAL(S) <br />SUFFIX <br />co <br />Indicate collateral: <br />PLEASE AMEND LEGAL TO READ: SEE EXHIBIT "A" ATTACHED, HALL COUNTY, NE <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gnu name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />9a. ORGANIZATION'S NAME <br />DIVERSIFIED FINANCIAL SERVICES, LLC <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UGC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />