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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 left blank <br />because Individual Debtor name did not fit, check here ❑ <br />OR <br />9a. ORGANIZATIONS NAME <br />9b. INDIVIDUALS SURNAME <br />MARS <br />FIRST PERSONAL NAME <br />ROBERT <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />202009956 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or lob) only grig additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Forrn UCC1) (use exact, full name; <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />OR <br />10a. ORGANIZATIONS NAME <br />10b. INDIVIDUALS SURNAME <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />311 W 11TH ST <br />GRAND ISLAND NE 68801 THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO <br />OWNERSHIP RIGHTS IN THE COLLATERAL. <br />— THE DEBTOR IS LEASING THE COLLATERAL. <br />13. m This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />14. This FINANCING STATEMENT: <br />covers timber to be cut ❑ covers as -extracted collateral is filed as a fixture filing <br />15. Namepeand address of a RECORD OWNER of real estate described in Item 16 <br />ROBERT MARS a record interest): <br />311 W 11TH ST <br />GRAND ISLAND NE 68801 <br />16. Description of real estate: <br />ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE <br />CITY OF GRAND ISLAND, COUNTY OF HALL, STATE OF <br />NEBRASKA, BEING KNOWN AND DESIGNATED AS RUSSEL <br />WHEELER'S ADD LT 3 BLK 25. <br />PARCEL #:400121166 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />INDIVIDUALS FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />] ADDITIONAL SECURED PARTY'S NAME <br />QC <br />• <br />ASSIGNOR SECURED PARTY'S NAME: Provide only gag name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />11b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />llc. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />311 W 11TH ST <br />GRAND ISLAND NE 68801 THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO <br />OWNERSHIP RIGHTS IN THE COLLATERAL. <br />— THE DEBTOR IS LEASING THE COLLATERAL. <br />13. m This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />14. This FINANCING STATEMENT: <br />covers timber to be cut ❑ covers as -extracted collateral is filed as a fixture filing <br />15. Namepeand address of a RECORD OWNER of real estate described in Item 16 <br />ROBERT MARS a record interest): <br />311 W 11TH ST <br />GRAND ISLAND NE 68801 <br />16. Description of real estate: <br />ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE <br />CITY OF GRAND ISLAND, COUNTY OF HALL, STATE OF <br />NEBRASKA, BEING KNOWN AND DESIGNATED AS RUSSEL <br />WHEELER'S ADD LT 3 BLK 25. <br />PARCEL #:400121166 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />