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201603352
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Last modified
5/31/2016 2:34:47 PM
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5/31/2016 2:34:46 PM
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DEEDS
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201603352
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />AME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />THELEN <br />FIRST PERSONAL NAME <br />PATRICK <br />ADDITIONAL NAME(S)/INITIAL(S) <br />LEO <br />SUFFIX <br />9. N <br />OR <br />10. DEBTORS 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 />OR <br />10c. MAILING ADDRESS <br />11. <br />OR <br />11 c. <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S) /INITIAL(S) <br />CITY <br />20 02 62 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />STATE <br />POSTAL CODE <br />ADDITIONAL SECURED PARTY'S NAME gE ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only Qng name (11a or lib) <br />11a. ORGANIZATION'S NAME <br />11 b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />POSTAL CODE <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. m 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 />PATRICK THELEN <br />STEPHEN THELEN <br />CHRISTOPHER THELEN <br />17. MISCELLANEOUS: <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />FILING OFFICE COPY -- UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />14. This FINANCING STATEMENT: <br />❑ covers timber to be cut ❑ covers as- extracted collateral L is filed as a fixture filing <br />16. Description of real estate: <br />NE1 /4 SEC 32 T9N R11W, HALL COUNTY, NE <br />Corporation Service Company <br />2711 Centerville Rd, Ste. 400 <br />Wilmington, DE 19808 <br />
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