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201707485
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201707485
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Last modified
12/9/2019 6:10:45 PM
Creation date
11/2/2017 11:02:54 AM
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DEEDS
Inst Number
201707485
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OR <br />10a. ORGANIZATION'S NAME <br />lob. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAMES) /INITIAL(S) <br />SUFFIX <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />❑ ADDITIONAL SECURED PARTY'S NAME QC fl ASSIGNOR SECURED PARTY'S NAME: Provide only gaff name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />11 b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />AME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here 0 <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />HALLER <br />FIRST PERSONAL NAME <br />DONALD <br />F. <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />9. N <br />OR <br />10. DEBTOR'S NAME: Provide (10a or 10b) only gt1Q additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Form UCC1) (use exact, full name; <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 1 Dc <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. m This FINANCING STATEMENT is to be 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 described in item 16 <br />DONALD F n H ALLER rd interest): <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />2017074gs <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />14. This FINANCING STATEMENT: <br />covers timber to be cut [] covers as- extracted collateral [J is filed as a fixture filing <br />16. Description of real estate: <br />SE1 /4 SEC 18 T11 R12, #400196026, HALL COUNTY, NE <br />Corporation Service Company <br />2711 Centerville Rd, Ste. 400 <br />Wilmington, DE 191105 <br />
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