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• • ■im • • • • Mm <br />I L <br />FINANCING STATEMENT AMENDMENT <br />I INSTRUCTIONS <br />E & PHONE OF CONTACT AT FILER (optional) <br />UL CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />ZITAGE BANK <br />nmeemswee. <br />— W 60TH ST SUITE 100 <br />m•"••••■•• RNEY, NE 68845 <br />I a, INITIAL FINANCING STATEMENT FILE NUMBER <br />INSTRUMENT # 201203550 FILED MAY 3 2012 <br />2. J TERMINATION: Effectiveness of the Financing Statement Identified above is terminated <br />OR <br />OR <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />5. 0 PARTY INFORMATION CHANGE: <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 />Et. D COLLATERAL CHANGE: Aim check 021 of these four boxes: 0 ADD collateral <br />Indicate collaterak <br />OR <br />10. OPTIONAL FILER REFERENCE DATA: <br />1 CITY <br />) Chi <br />C.,C) <br />rT Tw. <br />rn <br />' I <br />( <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />lb. D This FINANCING STATEMENT AMENDMENT is to be filed (for record) <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer att Amendment Addendum (Form UCC3Ad) and provide Debtor's name in item 13 <br />3.0 ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, 5n address of Assignee in item 7c an name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 angt also indicate affected collateral in Item 8 <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 />AND <br />Check one of these two boxes: Check one of these three boxes to: <br />CHANGE name and/or address. Complete ADD name: Complete item DELETE name: Give record name <br />This Change affects 0 Debtor or OSecured Party of record U item 6a or 6b; and item 7a or 7b =I item 7c 07a or 7b, and item 7c U to be deleted in Item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only gigg name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />BRABEC <br />FIRST PERSONAL NAME <br />ANDREW <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete far Assignment or Party Information Change - provide only gg name (Ta or 71)) (use exact, full name, do not omit, modify, or abbreviate any part of the Debtor's name) <br />FILING OFFICE COPY UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04120/11) <br />STAIIIPOSTAL CODE <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gag name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR. check here 0 and provide name of authorizing Debtor <br />SUFFIX <br />COUNTRY <br />DELETE collateral 0 RESTATE covered conaterai ASSIGN collateral <br />9a. ORGANIZATION'S NAME <br />HERITAGE BANK <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />International Association of Commercial Administmtors (LACA) <br />