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202108570
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Last modified
10/8/2021 12:01:15 PM
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10/8/2021 12:01:15 PM
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202108570
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME OF FIRST DEBTOR: Same as line 18 or 1b on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here El <br />OR <br />9a. ORGANIZATIONS NAME <br />9b. INDIVIDUAL'S SURNAME <br />WEST <br />FIRST PERSONAL NAME <br />TERESA <br />L. <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />202108570 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only gra 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 />OR <br />10a. ORGANIZATIONS NAME <br />10b. INDIVIDUAL'S SURNAME <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral) <br />2204 W OKLAHOMA AVE <br />GRAND ISLAND , NE 68803 <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 />Elcovers timber to be cut covers as -extracted collateral is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />if <br />Debtgr does not have a record interest): <br />TERESA L. WEST <br />2204 W OKLAHOMA AVE <br />GRAND ISLAND, NE 68803 <br />16. Description of real estate: <br />ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE <br />CITY OF GRAND ISLAND, COUNTY OF HALL, STATE OF <br />NEBRASKA, BEING KNOWN AND DESIGNATED AS LOT 16, <br />BLOCK 6, PARKHILL SECOND SUBDIVISION. <br />Parcel Number: 400073854 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <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 />11.1 <br />OR <br />ADDITIONAL SECURED PARTY'S NAME <br />41 <br />MI <br />ASSIGNOR SECURED PARTY'S NAME: Provide only Q0g name (11a or 11b) <br />11a. ORGANIZATIONS NAME <br />11b. 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 />2204 W OKLAHOMA AVE <br />GRAND ISLAND , NE 68803 <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 />Elcovers timber to be cut covers as -extracted collateral is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />if <br />Debtgr does not have a record interest): <br />TERESA L. WEST <br />2204 W OKLAHOMA AVE <br />GRAND ISLAND, NE 68803 <br />16. Description of real estate: <br />ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE <br />CITY OF GRAND ISLAND, COUNTY OF HALL, STATE OF <br />NEBRASKA, BEING KNOWN AND DESIGNATED AS LOT 16, <br />BLOCK 6, PARKHILL SECOND SUBDIVISION. <br />Parcel Number: 400073854 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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