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202101026
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2/8/2021 10:09:00 AM
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2/8/2021 10:09:00 AM
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202101026
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'INANCING STATEMENT AMENDMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />1-800-858-5294 <br />L CONTACT AT FILER (optional) <br />.Filing@cscglobal.com <br />ACKNOWLEDGMENT TO:j(Name and Address) <br />5 33440 ELL <br />I CSC 1�>L.a ci <br />.418 <br />4,q <br />Springfield, IL 62708 -)7(y y <br />L <br />Filed In: Nebraska <br />(Hall) I <br />r�J <br />Cf) ry <br />r•t <br />CIO <br />CO <br />CO <br />t,a <br />fT7 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b.gi This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />201603352 05/31/2016 (or recorded) in the REAL ESTATE RECORDS <br />Filer aim Amendment Addendum (Form UCC3Ad) am provide Debtor's name in item 13 <br />2. ❑ 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, BDG address of Assignee in item 7c and name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 <br />4. m 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 one of these two boxes: AND Check Dmof these three boxes to: <br />CHANGE name and/or address: Complete ADD name: Complete itemDELETE name: Give record name <br />This Change affects EI Debtor ix❑ Secured Party of record ❑ item 6a or 6b; and item 7a or 7b and item 7c ❑ 7a or 7b, mg item 7c ❑ to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only gpa name (6a or6b) <br />OR <br />6a. ORGANIZATION'S NAME <br />6b. INDIVIDUAL'S SURNAME <br />THELEN <br />FIRST PERSONAL NAME <br />PATRICK <br />ADDITIONAL NAME(S)/INITIAL(S) <br />LEO <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only misname (7a or 7b) (use exact, full name: do not omit, modify, or abbreviate any part of the Debtor's name) <br />OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />USA <br />8. ❑ COLLATERAL CHANGE: Aim check gm of these four boxes: El ADD collateral <br />Indicate collateral: <br />❑ DELETE collateral ❑ RESTATE covered collateral ❑ ASSIGN collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only mg 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. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA:Debtor:THELEN, PATRICK LEO -:194369-001 <br />2055 33440 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />ON 1113Wf .LSN1 SV G3I31NJ <br />
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