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201907840
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12/13/2019 11:32:24 AM
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12/13/2019 11:32:24 AM
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201907840
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9NANCING STATEMENT AMENDMENT <br />'INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />IL CONTACT AT FILER (optional) <br />- ;Filing@cscglobal.com <br />[CSC <br />801-Adlai-Stever►serterive PO WX g1( <br />Springfield, IL 62703 6:3a'IC - 9.406? <br />ACKNOWLEDGMENT TO: (Name and Address) <br />..J 65615 <br />0 <br />Filed In: Nebraska <br />I (Ha[[) I <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />201900780 02/07/2019 <br />cn <br />u, <br />C_-1 <br />r 1 - 4 rT1 <br />-'1 n <br />I ,.^:_:x <br />11 .'1 ::^77- _CA: ) <br />_.f rT1 <br />CTJ <br />c> - t . <br />O ,. <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1b.U1 This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) in the REAL ESTATE RECORDS <br />Filer. attach Amendment Addendum (Form UCC3Ad) r�Qi provide Debtor's name in item 13 <br />2. 21 TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination <br />Statement <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, Bad address of Assignee in item 7c =I name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 an also indicate affected collateral in item 8 <br />4. ❑ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check one of these two boxes: <br />This Change affects Debtor of Secured Party of record <br />AND Check one of these three boxes to: <br />CHANGE name and/or address: Complete ADD name: Complete item <br />❑ item 6a or 6b; and item 7a or 7b iDq item 7c ❑ 7a or 7b, and item 7c <br />DELETE name: Give record name <br />to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />OR <br />6b. INDIVIDUAL'S SURNAME <br />HARGENS <br />FIRST PERSONAL NAME <br />MARTIN <br />ADDITIONAL NAME(S)/INITIAL(S) <br />L <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only =name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />8. ❑ COLLATERAL CHANGE: Also check one of these four boxes: ❑ ADD collateral <br />Indicate collateral: <br />❑ DELETE collateral <br />❑ RESTATE covered collateral <br />❑ ASSIGN collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here ❑ and provide name of authorizing Debtor <br />OR <br />9a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />9b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA:Debtor-MARTIN L HARGENS 209-0102519-001 <br />1740 65615 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />
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