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4ANCING STATEMENT STRUCTIONS PHONE OF CONTACT AT FILER (optional) 1-800-858-5294 ONTACT AT FILER (optional) ling@cscglobal.com KNOWLEDGMENT TO: (Name and Address) 1051 • • X ZQ(eG � Springfield, IL,-6iT03 W:1 e – 2- Coq L Filed In: Nebraska (Hall) l Cr) Cr) r -i i CD N THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only one 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 Debtor's name will not fit in line 1b, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) OR la. ORGANIZATION'S NAME 1b. INDIVIDUAL'S SURNAME HUNGERFORD FIRST PERSONAL NAME CAROL ADDITIONAL NAME(S)/INITIAL(S) A SUFFIX lc. MAILING ADDRESS 219 E PLUM ST # DON CITY DONIPHAN STATE NE POSTAL CODE 68832-9563 COUNTRY USA 2. DEBTOR'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 name will not fit in line 2b, leave all of item 2 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) OR 2a. ORGANIZATIONS NAME 2b. INDIVIDUAL'S SURNAME HUNGERFORD FIRST PERSONAL NAME NORMAN ADDITIONAL NAME(S)/INITIAL(S) R SUFFIX 2c. MAILING ADDRESS 219 E PLUM ST # DON CITY DONIPHAN STATE NE POSTAL CODE 68832-9563 COUNTRY USA 3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) OR 3a. ORGANIZATIONS NAMEAgUa Finance, Inc. 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 3c. MAILING ADDRESS One Corporate Drive Suite 300 CITY Wausau STATE WI POSTAL CODE 54401 COUNTRY USA 4..C,8LME IMAPRTFysVrEME ss ement covers the following collateral: EASY CLIMBER STAIR LIFT 5. Check only if applicable and check only one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative 6a. Check only if applicable and check only one box: ❑ Public -Finance Transaction ❑ Manufactured -Home Transaction 0 A Debtor is a Transmitting Utility 6b. Check only if applicable and check only one box: Agricultural Lien 0 Non -UCC Filing 7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor 8. OPTIONAL FILER REFERENCE DATA::CXSX402464134 1624 65051 FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11)