201901757 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. OR AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line lb was left blank ecause Individual Debtor name did not fit, check here n 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME Weinrich FIRST PERSONAL NAME Philip D ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 201901751 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME: Provide (10a or 10b) only ong 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; do not omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address in line 10c 10a. ORGANIZATION'S NAME OR 10b. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY RED PARTY'S NAME Qr ❑ ASSIGNOR SECURED PARTY'S NAME Provide only one name (110 or 11b) OR 11a. ORGANIZATION'S NAME 11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 110. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. 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 is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 (0 Debtor does not have a record interest). 16. Description of real estate: THE WEST HALF OF THE NORTHWEST QUARTER (W1/2NW1/4) OF' SECTION SIX (6), TOWNSHIP TEN (10) NORTH, RANGE TEN (10) WEST OF THE 6TH P.M., HALL COUNTY, NEBRASKA 17. MISCELLANEOUS: International Association of Commercial Administrators (IACA) FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)