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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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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME <br />because <br />OR <br />OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />Individual Debtor name did not fit, check here ■ <br />9a. ORGANIZATION'S NAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />9b. INDIVIDUAL'S SURNAME <br />PLACKE <br />FIRST PERSONAL NAME <br />DARIN <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />ADDITIONAL NAME(S)/INITIAL(S) <br />J <br />SUFFIX <br />202106068 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only me 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 />Un <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 />ADDITIONAL SECURED PARTY'S NAME <br />4C <br />• <br />ASSIGNOR SECURED PARTY'S NAME: Provide only 2flit name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />lib. 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. 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 />Dcovers 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 />DARIN rJ PLACKE, eKARENt)K PLACKE <br />16. Description of real estate: <br />SW 1/4 SEC 5-T12N-R9W, PART OF PID 400185148, HALL <br />COUNTY, NE <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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