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OR <br />lb. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />1c. MAILING ADDRESS <br />17750 BURT STREET <br />CITY <br />OMAHA <br />STATE <br />NE <br />POSTAL CODE <br />68118 <br />COUNTRY <br />USA <br />OR <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)IINITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS <br />15303 S 94TH AVENUE <br />CITY <br />ORLAND PARK <br />STATE <br />IL <br />POSTAL CODE <br />60462 <br />COUNTRY <br />USA <br />IV 2 <br />s. C) n <br />C7 <br />r <br />a) <br />Ni �Iltlt� <br />UCC FINANCING STATEMENT <br />FOLLOW INSTRUCTIONS <br />OR <br />2c. <br />la. ORGANIZATION'S NAME <br />1803. LLC <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only on�Secured Party name (3a or 3b) <br />3a. ORGANIZATIONS NAME <br />ALLY FINANCIAL <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />H <br />CT) <br />W <br />CD <br />CD <br />--I <br />A. NAME & PHONE OF CONTACT AT FILER (optional) <br />B. E -MAIL CONTACT AT FILER (optional) <br />C. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />L <br />1 <br />I <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only on�Debtor name (la or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line lb, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2. DEBTORS NAME: Provide only gOg_Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtors <br />name will not fit in line 2b, leave all of item 2 blank, check here El and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATIONS NAME <br />2b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(S) /INITIAL(S) <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />4. COLLATERAL: This financing statement covers the following collateral: <br />— ALL OF THE DEBTOR'S FEE SIMPLE RIGHT, TITLE AND INTEREST IN THE PROPERTY LEGALLY DESCRIBED <br />IN EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF, INCLUDING, WITHOUT LIMITATION, ANY <br />AND ALL APPURTENANCES THERETO, AND ANY AND ALL BUILDINGS, STRUCTURES, FIXTURES AND <br />IMPROVEMENTS THEREON, WHETHER NOW OR LATER EXISTING. <br />5. Check gplLif applicable and check gpjy,one box: Collateral is I 1 held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Check or if applicable and check gply-one box: 6b. Check goII if applicable and check gone box: <br />❑ Public-Finance Transaction ❑ Manufactured -Home Transaction Q A Debtor is a Transmitting Utility ❑ Agricultural Lien O Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): l 1 Lessee /Lessor r] Consignee /Consignor ❑ Seller /Buyer U Bailee /Bailor U Licensee /Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />HALL COUNTY„ NEBRASKA <br />International Association of Commercial Administrators (IACA) <br />CD <br />C7) <br />C) <br />0) <br />0) <br />r) <br />0) 0 <br />�IV <br />