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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9a. ORGANIZATIONS NAME <br />VILLAGE OF DONIPHAN LEASING CORPORATION <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />9. NAME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />OR <br />OR <br />10a. ORGANIZATION'S NAME <br />100. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />201508459 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <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 />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. 12:j 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 />❑ covers timber to be cut 0 covers as- extracted collateral Is filed as a fixture filing <br />16. Description of real estate: <br />THE REAL PROPERTY LOCATED AT 103 WEST PINE <br />STREET IN THE VILLAGE OF DONIPHAN, NEBRASKA AND <br />HAVING THE FOLLOWING LEGAL DESCRIPTION: <br />LOTS TWO (2), THREE (3) AND FOUR (4), <br />LAUTENSCHLAGER SECOND SUBDIVISION, IN THE <br />VILLAGE OF DONIPHAN, HALL COUNTY, NEBRASKA <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <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. <br />OR <br />[] ADDITIONAL SECURED PARTY'S NAME <br />nr <br />• <br />ASSIGNOR SECURED PARTY'S NAME: Provide only gne name (11a or 11b) <br />118. 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 />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9a. ORGANIZATIONS NAME <br />VILLAGE OF DONIPHAN LEASING CORPORATION <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />9. NAME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />OR <br />OR <br />10a. ORGANIZATION'S NAME <br />100. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />201508459 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <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 />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. 12:j 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 />❑ covers timber to be cut 0 covers as- extracted collateral Is filed as a fixture filing <br />16. Description of real estate: <br />THE REAL PROPERTY LOCATED AT 103 WEST PINE <br />STREET IN THE VILLAGE OF DONIPHAN, NEBRASKA AND <br />HAVING THE FOLLOWING LEGAL DESCRIPTION: <br />LOTS TWO (2), THREE (3) AND FOUR (4), <br />LAUTENSCHLAGER SECOND SUBDIVISION, IN THE <br />VILLAGE OF DONIPHAN, HALL COUNTY, NEBRASKA <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />