202100633 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. NAME OF FIRST DEBTOR: Same as line la or 1b on FMandng Statement; if kne 1b was left blank because Individual Debtor name did not fit, check here o OR 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME QUINTANA FIRST PERSONAL NAME AGUEDO ADDITIONAL NAME(S)IINITIAL(S) SUFFIX 2021G0G33 2020093'32, THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTORS NAME: Provide (10a or 10b) only gpe additional Debtor name or Debtor name that did not fit In fine Ib or 2h of the Financing Statement (Form UCC1) (use exact, full name; — do not omit, modify, or abbreviate any part of the Debtors name) and enter the mailing address In line 10c 1 OR 10a. ORGANIZATIONS NAME 10b. INDIVIDUAL'S SURNAME 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 311 W 5TH GRAND ISLAND , NE 68801 THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO OWNERSHIP RIGHTS IN THE — COLLATERAL. THE DEBTOR IS LEASING THE COLLATERAL. 13. ® This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (lf applicable) 14. This FINANCING STATEMENT: 0 covers timber to be cut 0 covers as -extracted collateral is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate desaibed In item 16 AGUitDO QUINTANA interest): 311 W 5TH GRAND ISLAND , NE 68801 18. Description of real estate: THE WESTERLY TWENTY TWO (22) FEET OF LOT TWO (2) AND THE EASTERLY TWENTY TWO (22) FEET OF LOT THREE (3), BLOCK THIRTY THREE (33), ORIGINAL TOWN OF GRANDISLAND, HALL COUNTY, NEBRASKA. 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 0412W11) INDIVIDUAL'S FIRST PERSONAL NAME • INDIVIDUALS ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10c MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11. OR MI ADDITIONAL SECURED PARTY'S NAME 2i • ASSIGNOR SECURED PARTY'S NAME: Provide only sane name (11a or 11b) 11a. ORGANIZATIONS NAME 11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)IINITIAL(S) SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 311 W 5TH GRAND ISLAND , NE 68801 THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO OWNERSHIP RIGHTS IN THE — COLLATERAL. THE DEBTOR IS LEASING THE COLLATERAL. 13. ® This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (lf applicable) 14. This FINANCING STATEMENT: 0 covers timber to be cut 0 covers as -extracted collateral is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate desaibed In item 16 AGUitDO QUINTANA interest): 311 W 5TH GRAND ISLAND , NE 68801 18. Description of real estate: THE WESTERLY TWENTY TWO (22) FEET OF LOT TWO (2) AND THE EASTERLY TWENTY TWO (22) FEET OF LOT THREE (3), BLOCK THIRTY THREE (33), ORIGINAL TOWN OF GRANDISLAND, HALL COUNTY, NEBRASKA. 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 0412W11)