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201601656
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3/21/2016 1:58:48 PM
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3/21/2016 1:58:48 PM
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201601656
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OR <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />INANCING STATEMENT AMENDMENT ; <br />NSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />Oration Service Company 1- 800 - 858 -5294 <br />.CONTACT AT FILER (optional) <br />riling @cscinfo.com <br />ACKNOWLEDGMENT TO: (Name and Address) <br />.. —38635 - 356290 <br />Corporation Service Comp <br />o . k36x 2G(Q <br />Springfield, IL-64.743 1, - - ( p q <br />Filed In: Nebraska <br />( Hall ) <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />201200429 1/17/12 <br />5. Q PARTY INFORMATION CHANGE: <br />2.1Z1 TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination <br />Statement <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, anSI address of Assignee in item 7c ang. name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 mg also indicate affected collateral in item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />Check one of these two boxes: AND Check one of these three boxes to: <br />CHANGE name and /or address: Complete ADD name: Complete item DELETE name: Give record name <br />This Change affects ® Debtor gg ❑Secured Party of record u item 6a or 6b: Mg item 7a or 7b ABA item 7c fl 7a or 7b, amt item 7c D to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />DUBBS <br />FIRST PERSONAL NAME <br />TERRY <br />ADDITIONAL NAME(S) /INITIAL(S) <br />OR <br />7. CHANGED OR ADDED'I N FORMATION: Complete for Assignment or Party Information Change - provide only gne name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />7a. ORGANIZATION'S NAME <br />8. ❑ COLLATERAL CHANGE: Allis check gne of these four boxes: ❑ ADD collateral <br />Indicate collateral: <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />9a. ORGANIZATION'S NAMED [VERSIFIED FINANCIAL SERVICES, LLC <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />OR <br />10. OPTIONAL FILER REFERENCE DATA:Debtor:TERRY DUBBS-175171-001 <br />0 DELETE collateral <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />r •_ <br />C/) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1 b.71 This FINANCING STATEMENT AMENDMENT is to be filed [for record) <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer. attach Amendment Addendum (Form UCC3Ad) 3M provide Debtors name in item 13 <br />SUFFIX <br />RESTATE covered collateral LJ ASSIGN collateral <br />SUFFIX <br />Corporation Service Company <br />2711 Centerville Rd, Ste. 400 <br />Wilmington, DE 19808 <br />113238635 <br />
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