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UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. N AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here ❑ OR 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME HARGENS FIRST PERSONAL NAME MARTI N L ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 201900780 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME: Provide (10a or lob) only pne 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; do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c 10a. ORGANIZATIONS NAME OR IOb.INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11. OR U ADDITIONAL SECURED PARTY'S NAME 1 MI ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11 b) 11a. ORGANIZATION'S NAME 11 b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. 121 This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable) 14. This FINANCING STATEMENT: covers timber to be cut ❑ covers as -extracted collateral El is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 RONALD GHARGENSnLIFE ESTATE 16. Description of real estate: NE 1/4 SEC 14 T12 11 HALL COUNTY, NE 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)