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202100020
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Last modified
1/4/2021 12:25:22 PM
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1/4/2021 12:25:22 PM
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DEEDS
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202100020
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. N <br />AME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here <br />OR <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUALS SURNAME <br />JONES <br />FIRST PERSONAL NAME <br />PATRICIA <br />L <br />ADDITIONAL NAME(S)/iNITIAL(S) <br />SUFFIX <br />202100020 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTORS NAME: Provide (10a or 10b) only gig additional Debtor name or Debtor name that did not fit in line lb or 2b of the Financing Statement (Form UCC1) (use exact, full name; <br />do not omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address in line 10c <br />OR <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUALS SURNAME <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. 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. Name and address of a RECORD OWNER of real estate described in item 16 <br />if Debtor does not have a record interestC <br />GERALD S JONES, PATRICIA L JONES <br />16. Description of real estate: <br />SOUTH PLATTE TWP EX .77 AC COUNTY PT SW 1/4 8-9-10 <br />149.14 AC, HALL COUNTY, NE <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />INDIVIDUALS FIRST PERSONAL NAME <br />INDIVIDUALS 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 ppe name (11a or 11 b) <br />11a. ORGANIZATIONS NAME <br />11b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. 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. Name and address of a RECORD OWNER of real estate described in item 16 <br />if Debtor does not have a record interestC <br />GERALD S JONES, PATRICIA L JONES <br />16. Description of real estate: <br />SOUTH PLATTE TWP EX .77 AC COUNTY PT SW 1/4 8-9-10 <br />149.14 AC, HALL COUNTY, NE <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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