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rn <br />.I.... = n o <br />N� (m"1 N t!1 <br />FINANCING STATEMENT AMENDMENT <br />CS)� / INSTRUCTIONS <br />V— E & PHONE OF CONTACT AT FILER (optional) <br />Pickinpaugh <br />kIL CONTACT AT FILER (optional) <br /><inpaugh@comerstoneconnect.com <br />D ACKNOWLEDGMENT TO: (Name and Address) <br />�..�� lerstone Bank <br />1 16th St <br />ILentral City, NE 68826-1815 <br />.J <br />= <br />rn� <br />A <br />r <br />w <br />)--a <br />CO <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />--a <br />rn <br />rn <br />CD <br />tV Cn <br />Iv <br />O <br />CD <br />CO <br />la. INITIAL FINANCING STATEMENT FILE NUMBER <br />201702552 - Hall County NE <br />2. ❑✓ TERMINATION: Effectiveness of the Financing Statement Identified above is terminated <br />with respect to the security interest(s) of Secured Party authorizing this Termination <br />Cintamant <br />1b.0 This FINANCING STATEMENT AMENDMENT is to be filed [for record] <br />(or recorded) in the REAL ESTATE RECORDS <br />Fier. alliinn Amendment Addendum (Form UCC3Ad) and provide Debtor's rrme in Item 13 <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee In item 7a or 7b, aaQ address of Assignee in item 7c aaQ name of Assignor In item 9 <br />For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8 <br />4. 0 CONTINUATION: Effectiveness of the Financing Statement Identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />8t1 <br />Check gag of these two boxes: Q Check ppa of these three boxes to: <br />CHANGE name and/or address: CompleteADD name: Complete item DELETE name: Give record name <br />This Change affects ❑ Debtor g ❑Secured Party of record 0 item 6a or 6b; and item 7a or 7b and item 7c ❑ 7a or 7b, and item 7c ❑ to be deleted in item 8a or 60 <br />6. CURRENT RECORD INFORMATION: Complete for Party Intonation Change - provide only gm name (6a or 6b) <br />6a. ORGANIZATION'S NAME <br />OR <br />fib. INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Robert <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only me name (7e or 70) (use exact. M name, do not oink modify, a abbreviate any part of the Debtor's name) <br />OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAMES)/INITIAL(S) <br />SUFFIX <br />7c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />8. <br />COLLATERAL CHANGE: tau check gpa of these four boxes: I ADD collateral <br />Indicate collateral: <br />0 DELETE collateral <br />RESTATE covered collateral <br />ASSIGN collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only me name (9a or 9b) (name of Assignor, if this Is an Assignment) <br />If this is an Amendment authorized by a DEBTOR, check here 0 and provide name of authorizing Debtor <br />OR <br />9a. ORGANIZATION'S NAME <br />Cornerstone Bank <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)IINITIAL(S) <br />SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />International Association of Commercial Administrators (IACA) <br />