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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. N <br />AME OF FIRST DEBTOR: Same as line la or ib 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 INDIVIDUAL'S SURNAME <br />PUNCOCHAR <br />FIRST PERSONAL NAME <br />MICHAEL <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />202101149 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only QIIg 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 />OR <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />2231 W 11TH ST <br />GRAND ISLAND, NE 68803-3621 THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO <br />OWNERSHIP RIGHTS IN THE COLLATERAL. 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 />Elcovers timber to be cut ❑ covers as -extracted collateral m is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />MICHAEL PUNCOCHARrest): <br />2231 W 11TH ST <br />GRAND ISLAND, NE 68803-3621 <br />16. Description of real estate: <br />A PARCEL OF LAND LOCATED IN THE STATE OF NE, COUNTY <br />OF HALL, WITH A SITUS ADDRESS OF 2231 W 11TH ST, <br />GRAND ISLAND NE 68803-3621 C031 CURRENTLY OWNED BY <br />PUNCOCHAR MICHAEL / PUNCOCHAR LIBBIE HAVING A TAX <br />ASSESSOR NUMBER OF 400126923 AND BEING THE SAME <br />PROPERTY MORE FULLY DESCRIBED AS DILL & HUSTON'S <br />ADD PT VAC BETA ST & LT 8 BLK 5 APN: 400126923 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10c. MAKING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />1111 ADDITIONAL SECURED PARTY'S NAME <br />gl <br />• <br />ASSIGNOR SECURED PARTY'S NAME: Provide only gm name (11a or 11b) <br />115". ORGANIZATION'S NAME <br />11b. INDIVIDUAL'S 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 />2231 W 11TH ST <br />GRAND ISLAND, NE 68803-3621 THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO <br />OWNERSHIP RIGHTS IN THE COLLATERAL. 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 />Elcovers timber to be cut ❑ covers as -extracted collateral m is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />MICHAEL PUNCOCHARrest): <br />2231 W 11TH ST <br />GRAND ISLAND, NE 68803-3621 <br />16. Description of real estate: <br />A PARCEL OF LAND LOCATED IN THE STATE OF NE, COUNTY <br />OF HALL, WITH A SITUS ADDRESS OF 2231 W 11TH ST, <br />GRAND ISLAND NE 68803-3621 C031 CURRENTLY OWNED BY <br />PUNCOCHAR MICHAEL / PUNCOCHAR LIBBIE HAVING A TAX <br />ASSESSOR NUMBER OF 400126923 AND BEING THE SAME <br />PROPERTY MORE FULLY DESCRIBED AS DILL & HUSTON'S <br />ADD PT VAC BETA ST & LT 8 BLK 5 APN: 400126923 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />