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202101411
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Last modified
2/19/2021 3:50:21 PM
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2/19/2021 3:50:20 PM
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202101411
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• <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here E <br />OR <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />ALLAN <br />FIRST PERSONAL NAME <br />GEORGE <br />ADDITIONAL NAME(S)/INITIAL(S) <br />IV <br />SUFFIX <br />• 202®2�}1200848741 <br />RE-RECORDED <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1D. DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line 1b or 2b of the Financing Statement (Form UCC1) (use exact. full name; <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 />OR <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10c. <br />MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11.. <br />OR <br />ADDITIONAL SECURED PARTY'S NAME <br />4C <br />II <br />ASSIGNOR SECURED PARTY'S NAME: <br />Provide only one name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />11b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. <br />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 Ej covers as -extracted collateral El 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 interest): <br />16. Description of real estate: <br />N1/2 AND S1/2 OF THE NW1/4 OF 10-11-10 & SW 1/4 NE1/4 AND <br />W1/2N1/2W1/2 OF 10-11-10, HALL COUNTY, NEBRASKA <br />*SEE EX A FOR_ FiTLL LEC -AL <br />17. MISCELLANEOUS: <br />International Association of Commercial Administrators (IACA) <br />=ILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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