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201702553
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Last modified
4/21/2017 11:29:07 AM
Creation date
4/21/2017 11:29:07 AM
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DEEDS
Inst Number
201702553
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME OF FIRST DEBTOR; Same as line 1a or lb on Financing Statement; If Tine lb was left blank <br />becauee Individual Debtor name did not Ill check here D <br />R <br />R <br />OR <br />90. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Robert <br />ADDITIONAL NAME(S)IINITIAL(S) <br />(N THE ABOVE SPACE 1S FOR FILING OFFICE USE ONLY <br />1o. DEBTOR'S NAME: Provide (10a or 10b) only 9)E additional Debtor name or Debtor name hat did not fll In line 1b or 2b of the Financing Statement (Farm UCC1) (use scoot full name; <br />So not omit, modify, or abbreviate any part of the Debtor's name) end anlor the mailing address in line 1Oc <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(SS) <br />100, MAILING ADDRESS <br />11b. INDIVIDUAL'S SURNAME <br />11c. MAILING ADDRESS <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13.0 Thls FINANCING STATEMENT Is to bo 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 doea'Ibed In Item 19 <br />(9 Debtor does not have a record Interest): <br />Robert Panowicz <br />17. MISCELLANEOUS: <br />ITT <br />CITY <br />SUFFIX <br />FIRST PERSONAL NAME <br />See Exhibit A <br />STATE <br />POSTAL CODE <br />11 Ll ADDITIONAL SECURED PARTY'S NAME 4L U ASSIGNOR SECURED PARTY'S NAME: Provide only Ona nameJlleor llb) <br />I la. ORGANIZATION'S NAME <br />14. This FINANCING STATEMENT: <br />Ej covers timber to be cut covers as•extracted collateral <br />16. Description of real estate: <br />ADDITIONAL NAME(S)ANITIAL(S) <br />STATE <br />201 702553 <br />POSTAL CODE <br />12 <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />Is Bled as a lizture filing <br />International Association of Colnmerdal Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCCIAd) (Rev. 04/20/11) <br />
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