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201902096
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Last modified
4/15/2019 12:21:36 PM
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4/15/2019 12:21:35 PM
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DEEDS
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201902096
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; If line lb was lett blank <br />because Individual Debtor name did not fit, check here <br />R <br />9a. ORGANIZATIONS NAME <br />9b INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Robert <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />201902096 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Form UCC1) (use exact, lull name, <br />do not omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address in line 10c <br />OR <br />10a ORGANIZATION'S NAME <br />10b INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />1Oc. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />❑ ADDITIONAL SECURED PARTY'S NAME of 0 ASSIGNOR SECURED PARTY'S NAME: Provide o ly Ole name (11a or 11b) <br />11a. ORGANIZATIONS NAME <br />11b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />tic MAILING ADDRESS -- <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. Q This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />15. Name and address of a RECORD OWNER of real estate described In hem 1S <br />(if Debtor does not have a record interest): <br />Phyllis M. Eriksen <br />4233 Nordic RD <br />Grand Island, NE 68803 <br />14. This FINANCING STATEMENT: <br />❑ covers timber to be cut Eli covers es -extracted collateral Is filed as a fixture Piing <br />16. Description of real estate: <br />Northeast Quarter of the Northeast Quarter (NEI/4NE1/4) West Half of <br />Southeast Quarter of Northeast Quarter (W1/2SE1/4NE1/4) of Section Twenty- <br />one (21), Township Eleven (11), Range Ten (10), Hall County Nebraska. <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />Flnastra <br />1320 SW Broadway, Suite 100, Portland, OR <br />
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