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202106068
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Last modified
7/19/2021 9:56:58 AM
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7/19/2021 9:56:58 AM
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202106068
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PI <br />-n <br />c <br />Z <br />rl <br />n = <br />FINANCING STATEMENT ISI <br />=V INSTRUCTIONS <br />rn E & PHONE OF CONTACT AT FILER (optional) <br />CO <br />C 1-800-858-5294 <br />IL CONTACT AT FILER (optional) <br />RFiling@cscglobal.com <br />ACKNOWLEDGMENT TO: (Name and Address) <br />CSC 46946 CO � � 9 4 <br />�,� <br />e <br />Springfield, IL 62708 -2 q k �% <br />L <br />Filed In: Nebraska <br />(Hall) <br />= D <br />co <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only gtlg Debtor name (la or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 1b, leave all of item 1 blank, check here and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />la. ORGANIZATION'S NAME <br />OR <br />1b. INDIVIDUAL'S SURNAME <br />PLACKE <br />FIRST PERSONAL NAME <br />DARIN <br />ADDITIONAL NAME(S)/INITIAL(S) <br />J <br />SUFFIX <br />lc. MAILING ADDRESS 8150 N. 281 HWY <br />CITY <br />GRAND ISLAND <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />2. DEBTOR'S NAME: Provide only gna Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC <br />OR <br />3b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />3c. MAILING ADDRESS 14010 FNB PARKWAY STE 400 <br />CITY <br />OMAHA <br />STATE <br />NE <br />POSTAL CODE <br />68154 <br />COUNTRY <br />USA <br />— 4.1 eV1r 0 1Tl85KLsMtaCIPIIP+VOrtg attOWER 62T, NEW 650' UNDERGROUND WIRE #2 PANEL BOX <br />5. Check gp(y if applicable and check QI1l1C one box: Collateral is 0 held in a Trust (see UCC1Ad, item 17 and Instructions) 4 being administered by a Decedent's Personal Representative <br />6a. Check gray if applicable and check only one box: 6b. Check gt]ly if applicable and check only one box: <br />0 Public -Finance Transaction El Manufactured -Home Transaction A Debtor is a Transmitting Utility ❑ Agricultural Lien Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />8. OPTIONAL FILER REFERENCE DATA: :093503-001 <br />2142 46946 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />
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