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UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. OR AME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line lb was left blank ecause Individual Debtor name did not fit, check here El 9a. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME NIELSEN FIRST PERSONAL NAME SCOTT ADDITIONAL NAME(S)/INITIAL(S) M. SUFFIX 202110441 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTORS 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 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 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 4115 ALLEN AVE GRAND ISLAND , NE 68803 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 ❑ covers as -extracted collateral IZI is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): SOTT M. NIELSEN 4115 ALLEN AVE GRAND ISLAND , NE 68803 16. Description of real estate: ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE CITU OF GRAND ISLAND, COUNTY OF HALL, STATE OF NEBRASKA, BEING KNOWN AND DESIGNATED AS LOT 25, GRAND WEST THIRD SUBDIVISION. Parcel Number: 400405253 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11.. OR ADDITIONAL SECURED PARTY'S NAME QL • ASSIGNOR SECURED PARTY'S NAME: Provide only me name (11a or 11b) 11a. ORGANIZATIONS NAME 11b. INDIVIDUAL'S 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): 4115 ALLEN AVE GRAND ISLAND , NE 68803 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 ❑ covers as -extracted collateral IZI is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): SOTT M. NIELSEN 4115 ALLEN AVE GRAND ISLAND , NE 68803 16. Description of real estate: ALL THAT LOT, PIECE OR PARCEL OF LAND, SITUATE IN THE CITU OF GRAND ISLAND, COUNTY OF HALL, STATE OF NEBRASKA, BEING KNOWN AND DESIGNATED AS LOT 25, GRAND WEST THIRD SUBDIVISION. Parcel Number: 400405253 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11)