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201703019
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Last modified
7/3/2017 5:40:25 PM
Creation date
5/8/2017 4:10:47 PM
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DEEDS
Inst Number
201703019
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OR <br />19b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />19c. MAILING ADDRESS <br />10919 West Capital Ave. <br />CITY <br />Wood River <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />OR <br />20a. ORGANIZATION'S NAME <br />20b. INDIVIDUAL'S SURNAME <br />Woitaszewski <br />FIRST PERSONAL NAME <br />Adam <br />ADDITIONAL NAME(S)/INITIAL(S) <br />L <br />SUFFIX <br />20c. MAILING ADDRESS <br />10919 West Capital Ave. <br />CITY <br />Wood River <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />OR <br />21a. ORGANIZATION'S NAME <br />21b. INDIVIDUAL'S SURNAME <br />Woitaszewski <br />FIRST PERSONAL NAME <br />Andrew <br />ADDITIONAL NAME(S)/INITIAL(S) <br />J <br />SUFFIX <br />21c MAILING ADDRESS <br />10919 West Capital Ave. <br />CITY <br />Wood River <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />22. <br />OR <br />■ ADDITIONAL SECURED PARTY'S NAME g[ <br />❑ ASSIGNOR SECURED PARTY'S NAME: Provide only gng name (22a or 22b) <br />22a. ORGANIZATION'S NAME <br />22b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)IINITIAL(S) <br />SUFFIX <br />22c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />23. <br />OR <br />] ADDITIONAL SECURED PARTY'S NAME or <br />❑ ASSIGNOR SECURED PARTY'S NAME: Provide only gng name (23a or 23b) <br />23a. ORGANIZATION'S NAME <br />23b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />23c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS <br />201703019 <br />NAME OF FIRST DEBTOR: Same as line la or 10 on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />18a. ORGANIZATION'S NAME <br />A &AFarms <br />18b, INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />18. <br />OR <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />19. ADDITIONAL DEBTOR'S NAME: Provide only gOg Debtor name (198 or 190) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />198. ORGANIZATIONS NAME <br />Andrew Woitaszewski, Inc. <br />20. ADDITIONAL DEBTOR'S NAME: Provide only gag Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name) <br />21. ADDITIONAL DEBTOR'S NAME: Provide only ong Debtor name (218 or 21b) (use exact, full name; do not omit, modify or abbreviate any part of the Debtors name) <br />24. MISCELLANEOUS: <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCCIAP) (Rev. 08/22/11) <br />
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