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201603466
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Last modified
7/3/2017 5:40:40 PM
Creation date
6/3/2016 4:30:18 PM
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DEEDS
Inst Number
201603466
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OR <br />10a. ORGANIZATIONS NAME <br />10b. INDIVIDUALS SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />OR <br />11a. ORGANIZATIONS NAME <br />11b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9a. ORGANIZATION'S NAME <br />JAI KAPISH LLC <br />9b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)IINITIAL(S) <br />SUFFIX <br />9. NAME 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 E <br />OR <br />10. DEBTOR'S NAME: Provide (10a or 10b) only pne 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; <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />11. <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />ADDITIONAL SECURED PARTY'S NAME of n ASSIGNOR SECURED PARTY'S NAME: Provide only gne name (11a or 11b) <br />13. in 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 />JAI KAPISH, LLC <br />2506 PLUM CREEK PKWY <br />LEXINGTON, NE 68850.2814 <br />17. MISCELLANEOUS: <br />14. This FINANCING STATEMENT: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />201603466 <br />THE ABOVE SPACE 1S FOR FILING OFFICE USE ONLY <br />0 covers timber to be cut El covers as- extracted collateral © is filed as a fixture filing <br />16. Description of real estate: <br />LOT ONE (1), TOUKAN FOURTH SUBDIVISION, IN THE CITY OF GRAND <br />ISLAND, HALL COUNTY, NEBRASKA. <br />D+H <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />
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