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OK <br />'Mb. INDIVIDUAL'S 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 />11. <br />OR <br />Q ADDITIONAL SECURED PARTY'S NAME QC ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />11 b. 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 />10. DEBTORS N AME : Provide (10a or 10b) only pm 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 />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />JERRY <br />R <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />9. N <br />OR <br />10a. ORGANIZATION'S NAME <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. VI 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 />VERNA F & JERRY R DIBBERN <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />201700271 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut 0 covers as- extracted collateral is tiled as a fixture filing <br />16. Description of real estate: <br />JACKSON TWP PT E 3/4 OF N 1/2 NW 1/4 56.48 AC SEC. 2, T10, <br />R12, HALL COUNTY, NE <br />Corporation Service Company <br />2711 Cantenrille Rd, Ste. 490 <br />Wilmington, DE 19808 <br />