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Last modified
3/4/2024 11:21:34 AM
Creation date
3/4/2024 11:21:33 AM
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202400899
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME <br />because <br />OF FIRST DEBTOR: Same as One 1a or lb on Roaming Statement; If In. lb was left dank <br />IndMdud Debtor none dtd not IIt. cb.ck here <br />as. ORGANIZATIONS NAME <br />Sb. INDIVIDUAL'S SURNAME <br />Shafer <br />FIRST PERSONAL NAME <br />Joshua <br />ADDITIONAL NAME(e)IINIT1A1.(8) <br />D <br />SUFFIX <br />10. DEBTOR'S NAME: Pmvlde (10a or lob) onlylas addklond Debtor name or Debtor name that did not It In <br />do not malt. marry, or ebbrsMets any pat d Sr Debtor's name) and eater the manna address M he 10o <br />104 ORIIAN4247ION0 NAME <br />202400899 <br />ME ABOVE SPACE IS FOR PLNIO OFFICE USE ONLY <br />lb or Sb of Si. Men*, Statement (Farm UCC1) (we wad, Aa name <br />OR1d1.111DMIDTAl.'SSURNAME <br />MDNioUALS FIRST PE SCNALNAME <br />INDIVIDUAL'S ADDITIONAL NAME(8)ANMAL(S) <br />1De MMUNO ADDRESS <br />CITY <br />STATE <br />POSTAL CODS <br />11. ADDITIONAL SECURED PARTY'S NAME at d ASSIGNOR SECURED PARTY'S NAME: Provide only sum earns (11a or 11b) <br />w OR041112ATIONG NAME <br />11b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(SM88T)AL(S) ... <br />SUFFIX <br />Y1a MAIUNG ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COWRY <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13, DD 1Tds Fl NCINO <br />ATe STAT pI VT N Ie abb.N)d For record) (Cr recorded) In the <br />ESTREOt)RI>s otppAsas <br />15. Nam, and addroa ora RECORD OWNER Waal sande desalnd im Ism 18 <br />(H Debtor does not have a record Interest): <br />Went P Nowka <br />2482 Tunnel Road <br />Estes Park, CO 805174310 <br />Dawn Nowka <br />2482 Tunnel Road <br />Estee Park, CO 80617.8810 <br />14. Tho FINANCING STATEMENT.- <br />4-d coven Umber to be aC <br />out i covers as -extracted collateral Ks tiled ore a Swire IUng <br />10. tt!tdclipdoir of renal estate: <br />W112 8W11421.9-0. Bali ears / , N E <br />17. MISCELLANEOUS: <br />PILING OFFICE COPY UCC FINANCING STATEMENT ADDENDUM (Form UCCIAd) (Rev. 07101129) <br />Finestra <br />1320 SW Broadway, Sidle 100, Portland, OR <br />
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