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201606455
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Last modified
9/29/2016 2:23:24 PM
Creation date
9/29/2016 2:23:24 PM
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DEEDS
Inst Number
201606455
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />because Individual Debtor name did not fit, check here fl <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUALS SURNAME <br />SICKLER <br />FIRST PERSONAL NAME <br />DUSTON <br />ADDITIONAL NAME(S)IINITIAL(S) <br />C <br />SUFFIX <br />9. NAME OF FIRST DEBTOR: Same as line 1a or lb on Financing Statement; if line 1 b was left blank <br />OR <br />— 10. DEBTORS NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not ft 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 />10c MAILING ADDRESS <br />11. ❑ ADDITIONAL SECURED PARTY'S NAME or ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />111s. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(SyNITIAL(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(S)IINITIAL(S) <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. ® 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 />CITY <br />16. Description of real estate: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />201606455 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut ❑ covers as- extracted collateral ® is filed as a fixture filing <br />400175177 <br />SICKLER <br />1212 WALNUT ST <br />WOOD RIVER NE 68883 <br />HALL County <br />WOOD RIVER VILLAGE FIRST ADDITION TO <br />WOOD RIVER NORTH 1/2 LOTS 1 -2 -3 BLOCK 2 <br />[ See Exhibit for Real Estate ] <br />17. MISCELLANEOUS: 55840388 -NE-557 37724 - OVATION SALES FINANC OVATION SALES FINANCE, LLC File with: Hall County Register of Deeds, NE 1289349 <br />Prepared by CT Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />
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