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201507288
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Last modified
11/5/2015 9:11:33 PM
Creation date
10/23/2015 11:38:25 AM
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DEEDS
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201507288
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L <br />FINANCING STATEMENT <br />W INSTRUCTIONS <br />NE & PHONE OF CONTACT AT FILER (optional) <br />0 648 - 8026 <br />IAIL CONTACT AT FILER (optional) <br />cuments @dfsfin.com <br />ND ACKNOWLEDGMENT T0: (Name and Address) <br />DIVERSIFIED FINANCIAL SERVICES, LLC <br />14010 FIRST NATIONAL BANK PKWY <br />STE 400 <br />OMAHA, NE 68154 <br />1 <br />C) <br />Cr , <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only gng Debtor name (la or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); If any part of the Individual Debtor's <br />name will not fit in line lb, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />la. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />TOBEN <br />FIRST PERSONAL NAME <br />BEAU <br />CITY <br />DONIPHAN <br />ADDITIONAL NAME(S) /INITIAL(S) <br />D <br />STATE <br />NE <br />POSTAL CODE <br />68832 <br />OR <br />lc, MAILING ADDRESS <br />13075 S 60TH RD <br />2. DEBTOR'S NAME: Provide only gpg Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 2b, leave all of Item 2 blank, check here and provide the Individual Debtor Information In item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />POSTAL CODE <br />OR <br />2c. <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only ate Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />DIVERSIFIED FINANCIAL SERVICES, LLC <br />3b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />0 10 FIRST NATIONAL BANK PKWY STE 400 <br />FIRST PERSONAL NAME <br />CITY <br />OMAHA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68154 <br />OR <br />3c. <br />140 <br />COLLATERAL: This financing statement covers the following collateral: <br />1 NEW 2015 MODEL 7000 VALLEY PIVOT 1272' 7 -TOWER <br />UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />5. Check gna g ( if applicable and check on& one box: Collateral is Q held in a Trust (see UCCIAd, Item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Check mix if applicable and check g0)y one box: 6b. Check g01y if applicable and check gp(y one box: <br />0 Public Finance Transaction ❑ Manufactured -Home Transaction 0 A Debtor is a Transmitting Utility 0 Agricultural Lien El Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ LesseelLessor rl Consignee/Consignor Seller/Buyer ED Bailee/Bailor ❑ Licensee /Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />0189989 - 001 FIXTURE FILING / REAL ESTATE <br />
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