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C FINANCING STATEMENT <br />CJtiummim .OW INSTRUCTIONS <br />AME 8 PHONE OF CONTACT AT FILER (optional <br />-MAIL CONTACT AT FILER (optional) <br />END ACKNOWLEDGMENT TO: (Name and Address) <br />I Cornerstone Bank <br />P.O. Box +2rt' `1 1 <br />1 e IQ! b'DA, A) e <br />LH4fdretIvAc--643947( g 6A0 Qy11 —J <br />AA <br />rnN <br />A= <br />r— _Z <br />C:) �-':i �.._ :i;» <br />r- <n <br />CIO :K. <br />1.. <br />CD <br />CT <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only gag Debtor name (la or lb) (use exact, full name: do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtors <br />name will not fit In line lb, leave all of item 1 blank, check here n and provide the Individual Debtor Information In Item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />la. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Robert <br />CITY <br />Cairo <br />ADDITIONAL <br />M <br />STATE <br />NE <br />NAME(S)/INITIAL(S) <br />POSTAL CODE <br />688248760 <br />SUFFIX <br />COUNTRY <br />USA <br />1c. MAIUNG ADDRESS <br />10288 W White Cloud Rd <br />2. DEBTOR'S NAME: Provide only gig Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 2b, leave all of item 2 blank, check here end provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />2a ORGANIZATION'S NAME <br />2b INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)(INITIAL(S) <br />SUFFIX <br />2c. MAIUNG ADORESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY). Provident Sec iQsg Secured Party name (3a or <br />OR <br />3a ORGANIZATION'S NAME <br />Cornerstone Bank <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS <br />P.O. Box 127,133 Commercial Ave <br />CITY <br />Hildreth <br />STATE <br />NE <br />POSTAL CODE <br />68947 <br />COUNTRY <br />USA <br />. COLLATERAL: This financing statement covers the following collateral: <br />Zimmatic 10 Tower Pivot Serial # LA2971. <br />5. Check poly if applicable and check poly one box: Collateral is t l held In a Trust (see UCC1Ad. item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6e. Check only if applicable and check only one box: 6b. Check orgy if applicable and check only one box: <br />OPublic -Finance Transaction Q Manufactured -Home Transaction n A Debtor Is a Transmitting Utility El Agricultural Lien Q Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor [] Consignee!Conslgnor ❑ Seller/Buyer [j Bailee/Bailor 0 LicenseeiLlcerrcor <br />8. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />Flnastra <br />1320 SW Broadway, Suite 100, Portland, OR <br />