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202003167
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Last modified
5/18/2020 3:26:33 PM
Creation date
5/18/2020 11:13:29 AM
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202003167
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N_____ <br />FINANCING STATEMENT AMENDMENT <br />V INSTRUCTIONS <br />E & PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />kIL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />D ACKNOWLEDGMENT TO: (Name and Address) <br />• <br />2.1 19096 <br />C C Po g <br />801 St vanson Drive ci?(I i ' <br />S ed, -62740—gCbl'/ <br />Filed In: Nebraska <br />(Hall) <br />rn Lc' <br />r- <br />--c <br />1—, <br />cz� <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1a. INITIAL FINANCING STATEMENT FILE NUMBER <br />201707485 11/02/2017 <br />1b.171 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) giA provide Debtors name in item 13 <br />2. 121 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, and address of Assignee in item 7c and name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 mg also indicate affected collateral in item 8 <br />4.11] 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 me of these two boxes: <br />This Change affects ❑Debtor or El Secured Party of record <br />AND Check one of these three boxes to: <br />CHANGE name and/or address: Complete, --,ADD name: Complete item DELETE name: Give record name <br />Li item 6a or 6b; and item 7a or 7b and item 7c 7a or 7b, and item 7c ❑ to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only ono name (6a or 6b) <br />OR <br />6a. ORGANIZATIONS NAME <br />6b INDIVIDUAL'S SURNAME <br />HALLER <br />FIRST PERSONAL NAME <br />DONALD <br />ADDITIONAL NAME(S)/INITIAL(S) <br />F <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only ging name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name) <br />OR <br />7a. ORGANIZATIONS NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUALS FIRST PERSONAL NAME <br />INDIVIDUALS 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 NAMEDIVERSIFIED 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:DONALD F. HALLER 009-0202354-001 <br />1821 19096 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />Z <br />M <br />crl <br />Lin <br />rn <br />Z <br />Z <br />0 <br />Pie)6 <br />
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