201701562 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. NAME OF FIRST DEBTOR: Same es Ilne 1a or 1b on Financing Statement; If Ilne ib was left blank beoaue9 Individual Debtor name did not fit, check here ga. ORGANIZATION'S NAME 911 . INDIVIDUAL'S SURNAME Panowlcz FIRST PERSONAL NAME Robert M ADDITIONAL NAME(S) /INITIAL(S) SUFFIX OR 10. DEBTOR'S NAME: provide (108 or 10b) only oast additional Debtor name or 0abt0r name that did not ftt in Ilne 1 b or 2b of the Financing Statement (Form UCC1) Nee exact, full name; do not omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address In line 10c 10a. ORGANIZATION'S NAME lob. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S)IINITIALTS) MAILING ADDRESS APOtTIONAL SECURED PARTY'S NAME stt 118. ORGANIZATIONS NAME MAILING ADDRESS CITY ASSIGNOR SECURED PARTY'S NAME: Provide only ant name (1I s or lib 11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME CITY STATE STATE POSTAL CODE ADDITIONAL NAMES) / INITIAL(S) POSTAL CODE OR 106. 11. OR 1 lc 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. LL Thla FINANCING STATEMENT is to be filed (for record) (or recorded) In the REAL ESTATE RECORDS (If applicable) 15. Name and address of a RE00RO OWNER of real estate described In Item 16 (11 Debtor does not have a record Interest); 17. MISCELLANEOUS: 201701562 THE ABOVE SPACE 18 FOR FILING OFFICE USE ONLY SUFFIX COUNTRY SUFFIX COUNTRY 14. This FINANCING STATEMENT: covers Umber to be cot 13 covers ea-extracted collateral Q is filed as a fixture filing 16. Daecdpllon of real estate: South Half (8112) of the North East Quarter (NE114) of Section 4, Township 11 North, Range Ten West of the 8th P.M., Hall County, Nebraska. International Association of Commercial Administrators (IACA) FILING OFFICE COPY —• UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)