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ANCING STATEMENT AMENDMENT <br />iTRUCTIONS <br />HONE OF CONTACT AT FILER (optional) <br />(800)331-3282 Fax: (818) 662-4141 <br />)INTACT AT FILER (optional) <br />'LS—Glendale—Customer—Service@wolterskluwer.com <br />4NOWLEDGMENT TO: (Name and Address) 25789 - LANCASTER <br />solutions J 67344348 <br />Sox 29071 <br />171Cf hale, CA 91209-9071 NEN E <br />L FIXTURE <br />File with: Hall County Reqister of Deeds, NE <br />n r) <br />=a <br />rrni z <br />X <br />' 3 <br />cn <br />— 1•t <br />3 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />v <br />TV <br />CD <br />00 rZ7 <br />c:D <br />—.3 r1� <br />1a. INITIAL FINANCNG STATEMENT FILE NUMBER 1b. ®This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />201401201 3/3/2014 CC NE Hall County Register of Deeds (or recorded) in the REAL ESTATE RECORDS <br />g Filer. attach Amendment Addendum (Form UCC3Ad) and provide Debtors name in item 13 <br />2. ❑ TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination <br />Statement <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in Hem 9 <br />For partial assignment, complete items 7 and 9 and 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 />5. ❑ PARTY INFORMATION CHANGE: <br />Check one of these two boxes: AND Check one of these three boxes to: <br />CHANGE name and/or address: Complete ADD name: Complete Hem DELETE name: Give record name <br />This Change affects ❑ Debtor or ❑ Secured Party of record ❑ Hem 6a or 6b; and item 7a or 7b and Hem 7c ❑ 7a or 7b, and Hem 7c ❑ to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />LUTHERAN HOMES, INC. <br />OR 6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(SY)NITIHL(S) SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, tug name; do not o k, modify, or abbreviate any pad of the Debtor's name) <br />7a. ORGANIZATION'S NAME <br />OR 7b. INDIVIDUALS SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(SyINITIAL(S) SUFFIX <br />7c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />8. ❑ COLLATERAL CHANGE: Also check one of these four boxes: ❑ ADD collateral ❑ DELETE collateral ❑ RESTATE covered collateral ❑ ASSIGN collateral <br />Indicate collateral: <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, H this is an Assignment) <br />H this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />Oa nRr.AN17ATI0N'S NAMF <br />Lancaster Pollard Mortgage Co <br />OR 9b. INDIVIDUAL'S SURNAME <br />FIRST <br />10. OPTIONAL FILER REFERENCE DATA: Debtor Name: LUTHERAN HOMES, INC. <br />67344348 873 <br />ADDITIONAL NAME(SyINITIAL(S) I SUFFIX <br />— - Prepared by Lien Solutions, P.O. Box 29071, <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) Glendale, CA 91209-9071 Tel (800) 331-3282 <br />