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UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. NAME because OR OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank Individual Debtor name did not fit, check here ■ 9a. ORGANIZATION'S NAME SUFFIX 9b. INDIVIDUALS SURNAME MECHEM FIRST PERSONAL NAME WILLIAM ADDITIONAL NAME(S)/INITIAL(S) F STATE SUFFIX 202..02338 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME: Provide (10a or 10b) only mg 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; do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c OR 10a. ORGANIZATION'S NAME 10b. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 119 E 11TH 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. m This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable) 14. This FINANCING STATEMENT: covers timber to be cut ❑ covers as -extracted collateral12] is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 III�ointerest): WLLAM FMECHEM 119 E 11TH GRAND ISLAND, NE 68801 16. Description of real estate: ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE CITY OF GRAND ISLAND, COUNTY OF HALL, STATE OF NEBRASKA, BEING KNOWN AND DESIGNATED AS LOT 2, BLOCK 28, RUSSEL WHEELER'S ADD SUBDIVISION. Parcel Number: 400121506 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11. OR II ADDITIONAL SECURED PARTY'S NAME QC I ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) 11a. ORGANIZATION'S NAME 11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 119 E 11TH 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. m This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable) 14. This FINANCING STATEMENT: covers timber to be cut ❑ covers as -extracted collateral12] is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 III�ointerest): WLLAM FMECHEM 119 E 11TH GRAND ISLAND, NE 68801 16. Description of real estate: ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE CITY OF GRAND ISLAND, COUNTY OF HALL, STATE OF NEBRASKA, BEING KNOWN AND DESIGNATED AS LOT 2, BLOCK 28, RUSSEL WHEELER'S ADD SUBDIVISION. Parcel Number: 400121506 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)