202107207 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. N AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank because Individual Debtor name did not fit, check here ❑ OR 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME NICOLAUS FIRST PERSONAL NAME AMELIA M ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 202107207 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME: Provide (10a or 10b) only QOS 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; do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c OR 10a. ORGANIZATIONS NAME lob. INDIVIDUAL'S SURNAME 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 4239 KAY AVE GRAND ISLAND NE 68803-1422 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 collateral is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 AMELIAdMs NICOLAUS merest): 4239 KAY AVE GRAND ISLAND NE 68803-1422 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 8, LE HEIGHTS FOURTH SUBDIVISION. PARCEL.: 400158035 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) INDIVIDUALS FIRST PERSONAL NAME INDIVIDUALS ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11.. OR ADDITIONAL SECURED PARTY'S NAME QC El ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) 11a. ORGANIZATION'S NAME lib. 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): 4239 KAY AVE GRAND ISLAND NE 68803-1422 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 collateral is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 AMELIAdMs NICOLAUS merest): 4239 KAY AVE GRAND ISLAND NE 68803-1422 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 8, LE HEIGHTS FOURTH SUBDIVISION. PARCEL.: 400158035 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)