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N <br />0 <br />0 <br />a INANCING STATEMENT AMENDMENT <br />CO VSTRUCTIONS <br />1 PHONE OF CONTACT AT FILER (optional) <br />)ration Service Company 1- 800 - 858 -5294 <br />CONTACT AT FILER (optional) <br />riling @cscinfo.com <br />1CKNOWLEDGMENT TO: (Name and Address) <br />14 0 42437 E,1- , t <br />Corporation Service Company <br />U- 2c .2 -C <br />Springfield, IL 6r27-e5 to a - 10% - C:)- 1 0C-1 <br />1a. INITIAL FINANCING STATEMENT FILE NUMBER <br />201201313 02/21/2012 <br />2. IZ TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination <br />Statement <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 6 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check one of these two boxes: <br />CHANGE name and/or address: Complete ,--, name: Complete item <br />This Change affects O Debtor gr ❑ Secured Party of record 11 item 6a or 6b; log item 7a or 7b gDd item 7c 7a or 7b, and item 7c <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />HARGENS <br />FIRST PERSONAL NAME <br />RONALD <br />ADDITIONAL NAME(S) /INITIAL(S) <br />G. <br />OR <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only zit name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />OR <br />OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S) /INITIAL(S) <br />7C. MAILING ADDRESS <br />Filed In: Nebraska <br />(Hall) <br />NQ Check me of these three boxes to: <br />8. ❑ COLLATERAL CHANGE: agg check one of these four boxes: ❑ ADO collateral ❑ DELETE collateral ❑ RESTATE covered collateral ❑ ASSIGN collateral <br />Indicate collateral: <br />CITY <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gpe name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here El and provide name of authorizing Debtor <br />9a. ORGANIZATIONS NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />10. OPTIONAL FILER REFERENCE DATA:Debtor: RONALD G. HARGENS - 092548-004 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />t`- • c.) <br />CD .Zr <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />b.[71 This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer nest Amendment Addendum (Form UCC3Ad) nap provide Debtors name in item 13 <br />STATE <br />POSTAL CODE <br />DELETE name: Give record name <br />to be deleted in item 6a or 6b <br />SUFFIX <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />1289 42437 <br />Corporation Service Company <br />2711 Centenale Rd, Ste. 400 <br />Wilmington, DE 19808 <br />