201703088 - Laserfiche WebLink

Browse

UK lob. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S) / INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11. OR u ADDITIONAL SECURED PARTY'S NAME QC U ASSIGNOR SECURED PARTY'S NAME: Provide only gm name (11a or 11b) 11a. ORGANIZATION'S NAME 11 b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY do not omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address in line 10c UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. NAME OF FIRST DEBTOR: Same as line 15 or 1b on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME Panowicz FIRST PERSONAL NAME Matthew ADDITIONAL NAME(S) /INITIAL(S) M SUFFIX OR 10. DEBTOR'S NAME: Provide (10a or 10b) only gna additional Debtor name or Debtor name that did not fit in line 1 b or 2b of the Financing Statement (Form UCC1) (use exact, full name; 10a. ORGANIZATION'S NAME 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. Q 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 (if Debtor does not have a record interest): State of Nebraska, Soldier's Home 17. MISCELLANEOUS: 16. Description of real estate: 201703088 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 14. This FINANCING STATEMENT: ❑ covers timber to be cut ❑ covers as- extracted collateral is filed as a fixture filing Northwest Quarter (NW1 /4) of Section Five (5), Township Eleven (11) North, Range Nine (9) West of the Sixth P.M. in Hall County, Nebraska. International Association of Commercial Administrators (IACA) FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)