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r <br />UCC FINANCING STATEMENTADDENDUM ' <br />EOLLOW INSTRUCTIONS front and back CAREFULLY <br />9 NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />200110409 <br />OR <br />9b,1NDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX <br />^ " Meier John L. .. <br />I& MISCELLANEOUS: <br />r <br />1 <br />i THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />t 1. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- insert only 4116 name (11a or 11 b) - do not abbreviate or combine names <br />1„ <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />11a. ORGANIZATION'S NAME <br />OR <br />itb. INDIVIDUAL'S <br />LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A TYPE OF ORGANIZATION <br />ttf. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S ASSIGNORS /P'S NAME - insert only 2= name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S <br />LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a e fixture filing. <br />14. Description of real estate: <br />SE 1/4 Section 2; Township 12N; Range 9W; Hall <br />County, NE <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />Betty McKane <br />Carol Casperson <br />John Meier <br />17. Check 219X K applicable and check ply one box. <br />Sharon Meier <br />Debtor is aFITrust or FITrustee acting with respect to property held in trust or Decedent's Estate <br />18. Check Qply if applicable and check GOl)L one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction — effective 30 years <br />Filed in connection with a Public-Finance Transaction — effective 30 years <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />