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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE <br />Gonzalez Mauriclo A. <br />200110742 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (11a or 11 b) - do not abbreviate or combine names <br />111 a. ORGANIZATION'S NAME <br />`"_ <br />1 11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />I POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 111e. TYPE OF ORGANIZATION <br />11 f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S or 0 ASSIGNOR S /P'S NAME - insert only one name (12aor12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />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 ® fixture filing. <br />14. Description of real estate: <br />The South 1/2 of Lots 5 & 6 and the South 1/2 of the West 6 <br />feet of Lot 7, Block 92 Grand Island, Hall County, Nebraska <br />Original Town of <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />Mauricio A. Gonzalez <br />807 West Division <br />17. Check only if applicable and check only one box. <br />Grand Island, NE 68801 <br />Carmen Gonzalez <br />Debtor is a 11 Trust or Trustee acting with respect to property held in trust or Decedents Estate <br />18. Check only if applicable and check only one box. <br />807 West Division <br />Grand Island, NE 68801 <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 for 30 years <br />Harland Financial Solutions <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />