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OR <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <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 />ADDITIONAL SECURED PARTY'S NAME or 0 ASSIGNOR SECURED PARTY'S NAME: Provide only see name (1la or 11b) <br />11a. 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 />AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />ecause Individual Debtor name did not fit, check here D <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />LOPEZ <br />FIRST PERSONAL NAME <br />BERTHA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />9. <br />OR <br />10. DEBTOR'S NAME: Provide (10a or lob) only one additional Debtor name or Debtor name that did not fit in line 1b 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 />10a. ORGANIZATION'S NAME <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. © 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 />(if Debtor does not have a record interest): <br />17. MISCELLANEOUS: <br />14. This FINANCING STATEMENT: <br />covers timber to be cut covers as- extracted collateral Ells filed as a fixture filing <br />16. Description of real estate: <br />PARCEL NUMBER: 400430531 <br />20180355 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />LEGAL DESCRIPTION: KURZ SUBDIVISION LOT 6 IN THE <br />CITY OF GRAND ISLAND , HALL COUNTY, NEBRASKA <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />