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202110045
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Last modified
11/29/2021 10:36:08 AM
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11/29/2021 10:36:08 AM
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202110045
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME <br />because <br />OR <br />OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATIONS NAME <br />INDIVIDUALS FIRST PERSONAL NAME <br />9b. INDIVIDUALS SURNAME <br />WOITASZEWSKI <br />FIRST PERSONAL NAME <br />LARRY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />D <br />SUFFIX <br />202110045 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) 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; <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. INDIVIDUALS SURNAME <br />INDIVIDUALS 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. <br />OR <br />ADDITIONAL SECURED PARTY'S NAME QC ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only gng name (11a or 11b) <br />11a. ORGANIZATIONS NAME <br />11 b. 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 />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 121 is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />LARRY does <br />WOITASZEWSKI <br />16. Description of real estate: <br />WOOD RIVER TWP LT 1 & NE1/4NE1/4 OF SEC 3 T9 R11 66.98 <br />AC, PID 400222698, HALL County, NE <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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