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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. <br />OR <br />AME OF FIRST DEBTOR: Same as line la or ib on Financing Statement; if line 1b was left blank <br />ecause Individual Debtor name did not fit, check here D <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUALS SURNAME <br />MONTES <br />FIRST PERSONAL NAME <br />JOSE <br />L <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />210798s <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only 40g 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. INDIVIDUALS SURNAME <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />1308 W NORTH FRONT <br />GRAND ISLAND NE 68801 <br />THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO OWNERSHIP RIGHTS IN THE <br />COLLATERAL. THE DEBTOR IS LEASING THE 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 />covers timber to be cut ❑ covers as -extracted collateral 71 is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />JOSE1L MONTES record interest): <br />1308 W NORTH FRONT <br />GRAND ISLAND NE 68801 <br />16. Description of real estate: <br />THE FOLLOWING DESCRIBED REAL ESTATE IN HALL <br />COUNTY, NEBRASKA: LOT 9, BLOCK 13, BONNIE BRAE <br />ADDITION TO THE CITY OF GRAND ISLAND, HALL COUNTY, <br />NEBRASKA. <br />PARCEL NO.: 400022974 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />INDIVIDUALS FIRST PERSONAL NAME <br />INDIVIDUALS 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 />QC <br />• <br />ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />11b. INDIVIDUALS 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 />1308 W NORTH FRONT <br />GRAND ISLAND NE 68801 <br />THIS FILING IS MADE FOR NOTICE PURPOSES ONLY. THE DEBTOR HAS NO OWNERSHIP RIGHTS IN THE <br />COLLATERAL. THE DEBTOR IS LEASING THE 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 />covers timber to be cut ❑ covers as -extracted collateral 71 is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />JOSE1L MONTES record interest): <br />1308 W NORTH FRONT <br />GRAND ISLAND NE 68801 <br />16. Description of real estate: <br />THE FOLLOWING DESCRIBED REAL ESTATE IN HALL <br />COUNTY, NEBRASKA: LOT 9, BLOCK 13, BONNIE BRAE <br />ADDITION TO THE CITY OF GRAND ISLAND, HALL COUNTY, <br />NEBRASKA. <br />PARCEL NO.: 400022974 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />