201601482 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME THELEN FIRST PERSONAL NAME CHRISTOPHER ADDITIONAL NAME(S)/INITIAL(S) J SUFFIX 9. NAME OF FIRST DEBTOR: Same as line la or 1 b on Financing Statement; if line lb was left blank OR 10. DEBTOR'S NAME: Provide (10a or 10b) only goe additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Form UCC1) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c OR because Individual Debtor name did not fit, check here 10a. ORGANIZATION'S NAME 10b. INDIVIDUAL'S SURNAME 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. m This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable) 15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): I R THELEN REV TRUST 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) 201601482 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 14. This FINANCING STATEMENT: 0 covers timber to be cut ❑ covers as- extracted collateral 21 is filed as a fixture filing 16. Description of real estate: NE 1/4 SEC. 30 T -11N R -11W, HALL COUNTY, NE Corporation Service Company 2711 Centerville Rd, Ste. 400 Wilmington, DE 19808 INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAMES) /INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11. OR 111 ADDITIONAL SECURED PARTY'S NAME of • ASSIGNOR SECURED PARTY'S NAME: Provide only ona name (11a or 11b) 11a. ORGANIZATIONS NAME 11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME THELEN FIRST PERSONAL NAME CHRISTOPHER ADDITIONAL NAME(S)/INITIAL(S) J SUFFIX 9. NAME OF FIRST DEBTOR: Same as line la or 1 b on Financing Statement; if line lb was left blank OR 10. DEBTOR'S NAME: Provide (10a or 10b) only goe additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Form UCC1) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c OR because Individual Debtor name did not fit, check here 10a. ORGANIZATION'S NAME 10b. INDIVIDUAL'S SURNAME 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. m This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable) 15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): I R THELEN REV TRUST 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) 201601482 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 14. This FINANCING STATEMENT: 0 covers timber to be cut ❑ covers as- extracted collateral 21 is filed as a fixture filing 16. Description of real estate: NE 1/4 SEC. 30 T -11N R -11W, HALL COUNTY, NE Corporation Service Company 2711 Centerville Rd, Ste. 400 Wilmington, DE 19808