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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />TREJO <br />FIRST PERSONAL NAME <br />MELISSA <br />ADDITIONAL NAME(SyINM LL(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 />— 10. DEBTORS NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not tit 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 />OR <br />10c MAILING ADDRESS <br />11. ❑ ADDITIONAL SECURED PARTY'S NAME 91 ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) <br />11a. ORGANIZATIONS NAME <br />11b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(SYINITIAL(S) <br />STATE <br />POSTAL CODE <br />OR <br />11c. <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(SyINITIAL(S) <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. ® This FINANCING STATEMENT is to be flied [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 />CITY <br />16. Description of real estate: <br />PARCEL #: 400125625 <br />TREJO <br />416E 14TH ST <br />GRAND ISLAND NE 68801 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />STATE <br />POSTAL. CODE <br />201601611 <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 fudure filing <br />WESTERLY THIRTY -NINE AND SIX TENTHS FEET <br />[ See Exhibit for Real Estate ] <br />17. MISCELLANEOUS: 53005143 -NE-557 25676 - US CREDIT INC US CREDIT File with: Hall County Register of Deeds, NE 1240864 <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 />