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UCC FINANCING STATEMENT ADDENDUM <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />ORI — <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME <br />HARGENS MARTIN <br />10. MISCELLANEOUS: <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- inse <br />11a. ORGANIZATION'S NAME <br />IDDLE NAME,SUFFIXI 200400006 <br />L <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />name 01a or 11b) - do not abbreviate or combine <br />OR <br />I 1b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11,,, MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 11 le. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />NONE <br />DEBTOR <br />12. <br />ADDITIONAL SECURED PARTY'S x I ]ASSIGNOR SIP'S <br />NAME - insert only= a name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />121b , INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />1POSTALCODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or is fled as a ®fixture filing. <br />14. Description of real estate. <br />N 1/2 OF SW 1/4, SEC 1, T 11N, R 12W <br />HALL 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 />GLENWOOD & JANE HARGENS, <br />17. Check Qnlyif applicable and check pplyone box. <br />CO— TRUSTEES OF HARGENS FAMILY <br />JOINT REVOCABLE TRUST <br />Debtor is a Q Trust o rustee acting with respect to property held in trust o Decedent's Estate <br />18. Check QQIy, if applicable and check _ <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 UCC 1Ad) (REV. 07/29/98) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />