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200002663
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Last modified
10/13/2011 11:49:25 AM
Creation date
10/20/2005 8:07:31 PM
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DEEDS
Inst Number
200002663
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FINANCING STATEMENT ADDENDUM- FOLLOW INSTRUCTIONS <br />AdA. NAME OF FIRST DEBTOR ON RELATED FINANCING STATEMENT <br />ENTITY'S NAME <br />OR <br />INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAMES <br />FORD JAMES A. <br />AdB. MISCELLANEOUS: <br />Ad1. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (Adt a or Ad1 b) <br />AdIa. ENTITY'S NAME <br />OR Ad1 b. INDIVIDUAL'S LAST NAME IFIRST NAME <br />Aal C. MAILINU AUUnCOD III r <br />Adld. S.S. OR TAX I.D.# OPTIONAL jAdle. TYPE OF ENTITY 1Ad1f. ENTITY'S STATE <br />ADD'NL INFO RE OR COUNTRY OF <br />ENTITY DEBTOR 1ORGANIZATION <br />Ad2. ADDITIONAL SECURED PARTY'S EXACT FULL LEGAL NAME - insert only one name (Ad2a or <br />Ad2a. ENTITY'S NAME <br />OR <br />Ad2b. INDIVIDUAL'S LAST NAME <br />Ad2c. MAILING ADDRESS <br />Ad3a. This FINANCING STATEMENT covers timber to be cut, minerals, <br />or mineral- related accounts, or is filed as a fixture filing <br />Ad3b. ❑ This FINANCING STATEMENT covers crops growing or to be grown <br />on the real estate described below <br />Ado. Description of real estate: <br />SEJ SEC25 T12N R12W, SEJ SEC19 T12N R1 <br />HALL CO., NE <br />Ad5. Name and address of a RECORD OWNER of above - described <br />real estate (if Debtor does not have a record interest): <br />JAMES A. FORD <br />SARA MEYERS <br />Ad6. REQUIRED SIGNATURE <br />NAME <br />Ad7. Additional collateral description: <br />THIS SPACE FOR USE OF FILING OFFICER <br />200j,011;6611 <br />NAME <br />Ad1g. ENTITY'S ORGANIZATIONAL LOA, if any <br />STATE ICOUNTRY IPOSTAL <br />WEI. I I Debtor is a TRANSMITTING UTILITY [if applicable) <br />REORDER FROM <br />Registre, Inc. <br />(1) FILING OFFICER COPY — NATIONAL ADDENDUM (FORM UCC1 Ad) (TRANS) (REV. 12/18/95) <br />514 PIERCE ST. <br />P.O. BOX 218 <br />ANOKA. MN 55303 <br />(612) 421 -1713 <br />
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