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201800027
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1/2/2018 1:58:56 PM
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1/2/2018 1:58:56 PM
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201800027
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. N <br />OR <br />OR <br />10a. ORGANIZATIONS NAME <br />lob. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <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 />JE RRY does not record DIBB <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />201800027 <br />AME OF FIRST DEBTOR: Same as line 1a or lb on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />JERRY <br />R <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTORS NAME: Provide (10a or 10b) only ggg 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 10c <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut 0 covers as- extracted collateral is filed as a fixture filing <br />16. Description of real estate: <br />SW1 /4 OF SEC. 35, T11, R12, HALL COUNTY, NE <br />Corporation Service Company <br />2711 Centerville Rd, Ste. 400 <br />Wilmington, DE 19808 <br />INDIVIDUAL'S ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />III ADDITIONAL SECURED PARTY'S NAME or 0 ASSIGNOR SECURED PARTY'S NAME: Provide only gfe name (11a or 11b) <br />11 a. ORGANIZATIONS NAME <br />11b. 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 />9. N <br />OR <br />OR <br />10a. ORGANIZATIONS NAME <br />lob. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <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 />JE RRY does not record DIBB <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />201800027 <br />AME OF FIRST DEBTOR: Same as line 1a or lb on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />JERRY <br />R <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTORS NAME: Provide (10a or 10b) only ggg 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 10c <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut 0 covers as- extracted collateral is filed as a fixture filing <br />16. Description of real estate: <br />SW1 /4 OF SEC. 35, T11, R12, HALL COUNTY, NE <br />Corporation Service Company <br />2711 Centerville Rd, Ste. 400 <br />Wilmington, DE 19808 <br />
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