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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9a. ORGANIZATIONS NAME <br />9b. INDIVIDUAL'S SURNAME <br />BARCENAS <br />FIRST PERSONAL NAME <br />CARLOS <br />ADDITIONAL NAME(S)IINITIAL(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 />because Individual Debtor name did not fit, check here <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 1b 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 />R <br />OR <br />1lc. <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(Sy1NITIAL(S) <br />10c MAILING ADDRESS <br />11. [] ADDITIONAL SECURED PARTY'S NAME or ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) <br />11a. ORGANIZATIONS NAME <br />11 b. 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 />17. MISCELLANEOUS: 51164659- NE•557 25677 - Citizens State Bank <br />CITY <br />16. Description of real estate: <br />PARCEL #: 400022818 <br />BARCENAS <br />1415W 4TH ST <br />GRAND ISLAND NE 68801 <br />Citizens State Bank <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />STATE <br />POSTAL CODE <br />File with: Hall County Register of Deeds, NE 1277478 <br />201507819 <br />LOT FOUR (4), BLOCK TWELVE (12), BONNIE <br />[ See Exhibit for Real Estate ] <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />14. This FINANCING STATEMENT: <br />covers timber to be cut ❑ covers as- extracted collateral ® is filed as a fixture filing <br />Prepared by CT Lien Solutions, P.O. Box 29071, <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />