202109971 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. OR AME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line 1b was left blank ecause Individual Debtor name did not fit, check here D 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME ALLAN FIRST PERSONAL NAME ROBERT J ADDITIONAL NAME(S)/INITIAL(S) SUFFIX JR 202109971 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME: Provide (10a or lob) only gm 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. ORGANIZATION'S NAME 10b. INDIVIDUAL'S SURNAME INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 1qc. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11.. OR ADDITIONAL SECURED PARTY'S NAME of • ASSIGNOR SECURED PARTY'S NAME: Provide only nna name (1la or 11b) 11a. ORGANIZATION'S NAME 11b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 1lc. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. 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 121 is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 ROBERT J not have JAs1E R ALLAN 16. Description of real estate: S2NE4 CAMERON TWP SEC 24 T11N R12W, PID: 0400196557, HALL COUNTY, NEBRASKA 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)