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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. <br />OR <br />AME OF FIRST DEBTOR: Same as line 1a or lb 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 />DAVIS <br />FIRST PERSONAL NAME <br />SETH <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M. <br />SUFFIX <br />202202061. <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only gag 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 />10a. ORGANIZATIONS NAME <br />OR <br />10b. INDIVIDUAL'S 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 or fl ASSIGNOR SECURED PARTY'S NAME: Provide only gag name (11a or 11b) <br />11a. ORGANIZATION'S 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 />1215 N HOWARD 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. Z 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 is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />if Debtor does not have a record interest): <br />SETH M. DAVIS <br />1215 N HOWARD AVE <br />GRAND ISLAND , NE 68803 <br />16. Description of real estate: <br />PROPERTY HAVING LOT NO. S 1/2 OF LOT 7 AND ALL OF LOT <br />8, WITH THE SECTION NO. BLOCK 1, AND PROPERTY <br />BEGINNING AT SOUTH HALF OF LOT 7 AND ALL OF LOT 8, <br />BLOCK 1, WEST PARK ADDITION IN THE CITY OF GRAND <br />ISLAND, HALL COUNTY NEBRASKA <br />Parcel Number: <br />400117770 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />