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201902215
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Last modified
12/9/2019 6:23:55 PM
Creation date
4/19/2019 11:00:23 AM
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DEEDS
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201902215
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INANCING STATEMENT <br />NSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />. CONTACT AT FILER (optional) <br />Filing@cscglobal.com <br />ACKNOWLEDGMENT TO: (Name and Address) <br />30989 <br />CSC <br />roe <br />801 Adlai Stevenson -Drive <br />Springfield, IL+6M33 (p arta-,29(.99 <br />L <br />1 <br />Filed In: Nebraska <br />(Hall) <br />C1r <br />a <br />n= <br />CD <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />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 <br />name will not fit in line 1b, leave all of item 1 blank, check here 0 and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />1a. ORGANIZATION'S NAME <br />OR1b. <br />INDIVIDUAL'S SURNAME <br />MEIER <br />FIRST PERSONAL NAME <br />SHARON <br />ADDITIONAL NAME(S)/INITIAL(S) <br />R. <br />SUFFIX <br />1c. MAILING ADDRESS 6087 S 60TH RD <br />CITY <br />ALDA <br />STATE <br />NE <br />POSTAL CODE <br />68810 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only pm 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 Debtors <br />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) <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only gag Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />OR <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 14010 FNB PARKWAY STE 400 <br />CITY <br />OMAHA <br />STATE <br />NE <br />POSTAL CODE <br />68154 <br />COUNTRY <br />USA <br />41W-2019 W-55KL5gg tjjKl iAil+t'l 1 ra ER PIVOT <br />5. Check only if applicable and check only one box: Collateral is LI held in a Trust (see UCC1Ad, item 17 and Instructions) ❑ being administered by a Decedent's Personal Representative <br />6a. Check only if applicable and check only one box: 6b. Check only if applicable and check oily one box: <br />0 Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility 0 Agricultural Lien El Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor 111 Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor 0 Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :208220-001 PERFECT CIRCLE <br />1624 30989 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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