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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. <br />OR <br />AME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line lb was left blank <br />ecause Individual Debtor name did not fit, check here <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />MARSHALL <br />FIRST PERSONAL NAME <br />SANDY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />202201958 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only mg additional Debtor name or Debtor name that did not fit in line lb 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 />lOb. INDIVIDUALS SURNAME <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.. <br />OR <br />ADDITIONAL SECURED PARTY'S NAME <br />or <br />El <br />ASSIGNOR SECURED PARTY'S NAME: Provide only one 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 />1220 N HANCOCK 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. 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 71 is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />SANDRAeKAY MARSHALL) <br />1220 N HANCOCK AVE <br />GRAND ISLAND , NE 68803 <br />16. Description of real estate: <br />ALL OF GRANTOR'S INTEREST IN LOT 10, BLOCK 2, <br />COLONIAL ESTATES SUBDIVISION, CITY OF GRAND ISLAND, <br />HALL COUNTY, NEBRASKA <br />Parcel Number: <br />400035847 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />