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1 UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. NAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank because Individual Debtor name did not fit, check here ❑ OR 9a. ORGANIZATIONS NAME 9b. INDIVIDUALS SURNAME MILLS FIRST PERSONAL NAME MARY V ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 202107984 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME: Provide (10a or 10b) only one 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 Debtors name) and enter the mailing address in line 10c OR 10a. ORGANIZATIONS NAME 10b. INDIVIDUAL'S SURNAME 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 4145 SPRINGVIEW DR GRAND ISLAND NE 68803-6507 - 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 El covers as -extracted collateral 21 is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 MARYDebtor a record interest): 4145 SPRINGVIEW DR GRAND ISLAND NE 68803-6507 16. Description of real estate: A PARCEL OF LAND LOCATED IN THE STATE OF NE, COUNTY OF HALL, WITH A SITUS ADDRESS OF 4145 SPRINGVIEW DR, GRAND ISLAND NE 68803-6507 R007 CURRENTLY OWNED BY MILLS MARY V HAVING A TAX ASSESSOR NUMBER OF 400204630 AND BEING THE SAME PROPERTY MORE FULLY DESCRIBED AS CENTER TWP WESTROADS ESTATES THIRD SUB LT 27. PARCEL NO.: 400204630 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 si In ASSIGNOR SECURED PARTY'S NAME: Provide only ma name (11a or 11b) 11a. ORGANIZATION'S NAME 11 b. INDIVIDUALS 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): 4145 SPRINGVIEW DR GRAND ISLAND NE 68803-6507 - 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 El covers as -extracted collateral 21 is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 MARYDebtor a record interest): 4145 SPRINGVIEW DR GRAND ISLAND NE 68803-6507 16. Description of real estate: A PARCEL OF LAND LOCATED IN THE STATE OF NE, COUNTY OF HALL, WITH A SITUS ADDRESS OF 4145 SPRINGVIEW DR, GRAND ISLAND NE 68803-6507 R007 CURRENTLY OWNED BY MILLS MARY V HAVING A TAX ASSESSOR NUMBER OF 400204630 AND BEING THE SAME PROPERTY MORE FULLY DESCRIBED AS CENTER TWP WESTROADS ESTATES THIRD SUB LT 27. PARCEL NO.: 400204630 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)