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csammmi <br />'C FINANCING STATEMENT <br />LOW INSTRUCTIONS <br />pp <br />T1 <br />C <br />r Z <br />n = •` •' <br />JAME 8 PHONE OF CONTACT AT FILER (optional <br />:-MAIL CONTACT AT FILER (optional) <br />SEND ACKNOWLEDGMENT TO: (Name and Address) <br />' Cornerstone Bank <br />P.O. Box 1-27 1-i1I <br />1 ve <br />ALbr"tYI, NF <br />toy'& <br />CO <br />0) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only one Debtor name (la or 1 b) (use exact, full name; do not omit, modify, or abbreviate any part o1 the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 1 b, leave all of item 1 blank, check here ID and provide the Individual Debtor information In item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />1c, <br />10288 <br />la. ORGANIZATION'S. NAME <br />1b. INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Robert <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />MAILING ADDRESS <br />W White Cloud Rd <br />CITY <br />Cairo <br />STATE <br />NE <br />POSTAL CODE <br />68824-8760 <br />COUNTRY <br />USA <br />2. DEB 'S NAME: Provide only one 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 21% leave all of item 2 blank, check here and provide the Individual Debtor Information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />OR <br />2c. <br />2a ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SVINITtAL(S) <br />SUFFIX <br />MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3, SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNORSECUREDPARTY): Provide onlygtig Secur <br />OR <br />3a ORGANIZATION'S NAME <br />Cornerstone Bank <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)ANITIAL(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 />88947 <br />COUNTRY <br />USA <br />. COLLATERAL: This financing statement covers the following collateral.. <br />Reinke B Tower Pivot Serial # 189479565. <br />5. Check B0(y If applicable and check only one box: Collateral is Q held in a Trust <br />aUCC1Ad, item 17 and Instructions) <br />beim administered by a Decedent's Personal.RepreSenfafive <br />6a, Check oily if applicable and checkoaly one box: <br />ElPublic -Finance Transaction <br />❑ Manufactured -Horne Transaction 0 A Debtor is a Transmitting Utility <br />6b. Check slaty if applicable and check orgy one box: <br />7. ALTERNATIVE DESIGNATION (if applicable):: Ii Lessee/Lessor <br />8. OPTIONAL FILER REFERENCE DATA: <br />QConsigneerConSIgnOI ❑ Setter/Buyer <br />0 Agricultural Lien <br />ElBailee/Bailor <br />❑ Non -UCC Filing <br />0 Licensee/Licensot <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />Flnastra <br />1320 SW Broadway, Suite 100, Portland, OR <br />ON 1N3Wf LSNI Sb 031131N3 <br />