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UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME MEYER FIRST PERSONAL NAME JEFFREY J ADDITIONAL. NAME(S) /INITIAL(S) SUFFIX 9. NAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here ❑ OR 10. DEBTORS NAME: Provide (10a or 10b) only one 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; do not omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address in line 10c 10a. ORGANIZATION'S NAME 10b. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) MAILING ADDRESS 11a. ORGANIZATIONS NAME 11 b. INDIVIDUAL'S SURNAME MAILING ADDRESS CITY FIRST PERSONAL NAME CITY STATE STATE POSTAL CODE ❑ ADDITIONAL SECURED PARTY'S NAME g2 ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) ADDITIONAL NAME(S) /INITIAL(S) POSTAL CODE OR 10c 11. OR 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. f This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable) 15. Name and address of a RECORD OWNER of real estate described in item 16 Of Debtor does not have a record interest): DOROTHY M. MEYER 3990 W. CAPITAL AVENUE #116 GRAND ISLAND, NE 68803 17. MISCELLANEOUS: 14. This FINANCING STATEMENT: ❑ covers timber to be cut ❑ covers as- extracted collateral i is filed as a fixture filing 16. Description of real estate: 201701717 THE ABOVE SPACE 1S FOR FILING OFFICE USE ONLY SUFFIX COUNTRY SUFFIX COUNTRY NORTHWEST QUARTER OF SECTION THIRTY (30), TOWNSHIP TWELVE (12) NORTH, RANGE TWELVE (12) WEST OF THE 6TH P.M., HALL COUNTY, NEBRASKA. Intemational Association of Commercial Administrators (IACA) FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)