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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. N <br />AME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank <br />becau:.a Individual Debtor name did not fit, check here <br />OR <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />Bluschke <br />FIRST PERSONAL NAME <br />Chad <br />ADDITIONAL NAME(S)/INITIAL(S) <br />C <br />SUFFIX <br />202102051 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only one 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 />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />OR <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />IN ADDITIONAL SECURED PARTY'S NAME <br />pi <br />II <br />ASSIGNOR SECURED PARTY'S NAME: Provide only ge 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. 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 covers as -extracted collateral is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />ChadbC Bluschkeaand interest): <br />Bluschke <br />812 W 14th St <br />Grand Island, NE 68801 <br />Hall County <br />16. Description of real estate: <br />400134683 <br />Property Address - <br />812 W 14th St <br />Grand Island, NE 68801 <br />Hall County <br />GILBERTS SECOND ADD LT 8 BLK 6 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />