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OR <br />1b, INDIVIDUAL'S SURNAME <br />Panowlcz <br />FIRST PERSONAL NAME <br />Robert <br />ADDITIONAL NAME(S)ANITIAL(S) <br />M <br />SUFFIX <br />lc, MAILING ADDRESS <br />4525 N 110th Rd <br />CITY <br />Cairo <br />STATE <br />NE <br />POSTAL CODE <br />68824 -9491 <br />COUNTRY <br />USA <br />OR <br />2o. <br />OR <br />L <br />FINANCING STATEMENT <br />OW INSTRUCTIONS <br />AME & PHONE OF CONTACT AT FILER (optional) <br />MAIL CONTACT AT FILER (optional) <br />END ACKNOWLEDGMENT TO (Name and Address) <br />cot <br />nor skt.e rz� k EA`) <br />iorners1 1e Bank <br />1631 16 I �)� <br />Central C�Ity, NE 68826 - (ashy ; °t) y J est <br />S et <br />ri <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only =Secured Party nam (3a or 3b <br />3a. ORGANIZATION'S NAM <br />30. MAILING ADDRESS <br />1631 16th Street <br />(j A Debtor Is a Transmitting Utility <br />Consignee /Consignor (EI Seller /Buyer <br />FILING OFFICE COPY —UCC FINANCING STATEMENT (Form UCC1) (Rev. 12/01/18) <br />y <br />n ) <br />C] <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />2b. INDIVIDUAL'S SURNAME <br />Panowlcz <br />MAILING ADDRESS <br />4525 N 110th Rd <br />FIRST PERSONAL NAME <br />Jaime <br />CITY <br />Cairo <br />ADDITIONAL NAME(S)ANITIAL(S) <br />L <br />STATE <br />NE <br />POSTAL CODE <br />68824 -9491 <br />1. DEBTOR'S NAME: Provide only oft Debtor name (1a or lb) (0 so exact, full name; do 1101 OW, molly, or abbreviate any pert of the Debtor's name), it any part 011110 Individual Debtor's .1 <br />name w0 pot tit in lino 1b, leave alt 01116 1 blank, check here 0 and provide the Individual Debtor information In item 10 01111e Financing Statement Addendum (Form UCC1Ad) ` (J <br />1 e. ORGANIZATION'S NAME <br />2, DEBTOR'S NAME Provide only prig Debtor name (26 or 20) (use exact, full name; do not omit, modify, or abbreviate any pert of the Debtor's name): If any pen of the Intl 1dua1 Debto'6 <br />name will not fit In Ilse 2b, leave ell of item 2 blank, check hero ❑ and provide the Individual Dobtor Informallon In Item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />SUFFIX <br />COUNTRY <br />USA <br />Cornerstone Bank <br />E <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />CITY <br />Central City <br />ADDITIONAL NAME(S)ANITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68626.1815 <br />SUFFIX <br />COUNTRY <br />USA <br />— 4. COLLATERAL: Thla flnencing slatement covers me following Collateral: <br />Purchase Money Security Interest in 1991 Model 65 7 Tower Reinke Pivot (SN: 4917458) and Model 220 -DEP well and pump (Catalog 01040S2BLO); whether <br />any of the foregoing is owned now or acquired later; all accessions, addi(lons, replacements, and substitutions relating to any of the foregoing; all records of <br />any kind relating to any of the foregoing, <br />8. Cbeck sally if applicable and chat* anis one box: Collateral ie ( held In That (aee UCC1Ad, hem 17 and Instructions) ` being administered by a Decedent's Personal Repreoenlallve <br />6a. Check Wily If applicable and check any one box: <br />0 Pubitc-Finance Transaction Manufactured -Home Transaction <br />7. ALTERNATIVE DESIGNATION Of applicable): Leeseo/Leoeor <br />8, OPTIONAL FILER REFERENCE DATA: <br />6b. Check mu 11 applicable and Check 018 one box: <br />0 Agriculture) Llon 0 Non -UCC Filing <br />Ballee /Bailor (♦ Licensee/Licensor <br />International Association of Commercial Administrators (IACA) <br />