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201507916
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Last modified
11/17/2015 11:58:38 AM
Creation date
11/17/2015 11:58:38 AM
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DEEDS
Inst Number
201507916
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OR <br />10a. ORGANIZATION'S NAME <br />lob. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(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 gr 0 ASSIGNOR SECURED PARTY'S NAME: Provide only gpg name (11a or 11b) <br />11a. ORGANIZATION'S 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 />201507916 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />STOLTENBERG <br />FIRST PERSONAL NAME <br />ROY <br />D <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />9. NAME 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 />OR <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only ongadditional 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 omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address in line 10c <br />ADDITIONAL SP ACE 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 />(if Debtor does not have a record interest): <br />17. MISCELLANEOUS: <br />14. This FINANCING STATEMENT: <br />EJ covers timber to be cut 0 covers as- extracted collateral 2] is filed as a fixture filing <br />16. Description of real estate: <br />R & M SUBDIVISION, LOT 2, HALL COUNTY, NE <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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