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200110904 <br />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 />19a. ORGANIZATION'S NAME <br />OR Country General, Inc. <br />9b. INDIVIDUAL'S LAST NAME IFIRSTNAME IM11 <br />10. MISCELLANEOUS: <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />i i. rlvviii imu vcc.ar —. c mr i rv­ ­ ma ry rvic- msenonryonenametiisoriiof- <br />111 a. ORGANIZATION'S NAME <br />" <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />IPOSTALCODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />ADD'L INFO RE Ile. TYPE OF ORGANIZATION <br />111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />I I <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S 2 ASSIGNOR S /P'S <br />NAME - insert only QDQ name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />IPOSTALCODE <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 />See Schedule A attached hereto. <br />14. Description of real estate: <br />See Exhibit A attached hereto. <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />17. Check "if applicable and check QnIIC one box. <br />Debtor is a n Trust or ri Trustee acting with respect to property held in trust or Decedent's <br />Estate <br />18. Check Q* if applicable and check "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 />NATUCC I - 5/4/01 C T System Online <br />