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202100136
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1/7/2021 11:13:35 AM
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1/7/2021 11:13:35 AM
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202100136
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FINANCING STATEMENT <br />V INSTRUCTIONS <br />rn <br />m <br />C <br />rn <br />E & PHONE OF CONTACT AT FILER (optional) <br />C 1-800-858-5294 <br />VIL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />D ACKNOVVLEDGM€NT TO: (Name and Address) <br />cu3929804 R_ /�/ <br />CSC (?o /:�U,,'7 6P q <br />801 Adla' son Drive <br />S ngfield, IL 62708-2Q14 <br />L <br />Filed In: Nebraska <br />(Hall) <br />Ci) <br />(71) <br />O <br />4 , <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only one Debtor name (1a 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 and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />la. ORGANIZATION'S NAME <br />OR1b. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />JERRY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />R <br />SUFFIX <br />lc. MAILING ADDRESS 15700 W SCHIMMER DR <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only one Debtor name (2a or 2b) (use exact, full name, do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtor's <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 />OR2b. INDIVIDUAL'S SURNAME <br />DIBBERN <br />FIRST PERSONAL NAME <br />VERNA <br />ADDITIONAL NAME(S)/INITIAL(S) <br />F <br />SUFFIX <br />2c. MAILING ADDRESS 15700 W SCHIMMER DR <br />CITY <br />WOOD RIVER <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only pre 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 />— 4.1 RIea00 ha3Lsg5OCC.eLltteilAwfeltctRO CONER ARM, 1 USED 2017 MODEL 8500P ZIMMATIC PIVOT 7 <br />TOWER 1281' <br />5. Check only if applicable and check only one box: Collateral is 0 held in a Trust (see UCC1Ad, item 17 and Instructions) El 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 only one box: <br />❑ Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility 0 Agricultural Lien ❑ Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): 0 Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :130936-003 <br />2039 29804 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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