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UCC FINANCING STATEMENT <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />A. NAME & PHONE OF CONTACT AT FILER [optional) <br />Anna Kuehl 800 - 648 -8026 <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />[Diversified Financirvices, Inc. <br />14010 First National Bank Pkwy #205 <br />Omaha, NE 68154 <br />M <br />C= <br />= C) <br />rr'��1I CJ <br />f� 2 N <br />O <br />C> C/) <br />C) C) <br />= y <br />M CA <br />r':7 <br />Moss <br />Donna <br />C D <br />Z <br />N <br />CITY <br />STATE <br />C <br />JI THE ABC <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only M debtor name (1a or 1b) - do not abbreviate or combine names <br />OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />Moss Donald F. <br />1c. MAILING ADDRESS CITY STATE POSTAL <br />1410 Sheridan Place Grand Island NE 68803 <br />id.TAXID #: SSNOREIN 1ADD'LINFORE lie. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION I g. ORGANIZATION <br />505 -56 -7777 ORGANIZATION <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only= debtor name (2a or 2b) -do not abbreviate or combine names <br />OR <br />O <br />C> C/) <br />C) <br />r':7 <br />Moss <br />Donna <br />C D <br />Z <br />N <br />CITY <br />STATE <br />C <br />rn <br />C= <br />NE <br />m <br />2d. TAX ID #: SSN OR EIN <br />o <br />o <br />o. <br />C".') <br />ORGANIZATION <br />O Tj <br />T <br />rn <br />~ <br />t= L <br />ORGANIZATION'S NAME <br />CD <br />17TI <br />OR13a. <br />CO2 <br />.... -- ..... _ <br />-- - - <br />U') <br />F— <br />C <br />t� <br />....� <br />C-D <br />cc <br />Po <br />CP <br />cn <br />Z <br />r0 <br />e <br />'PACE IS FOR FILING OFFICE USE ONLY <br />OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />Moss Donald F. <br />1c. MAILING ADDRESS CITY STATE POSTAL <br />1410 Sheridan Place Grand Island NE 68803 <br />id.TAXID #: SSNOREIN 1ADD'LINFORE lie. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION I g. ORGANIZATION <br />505 -56 -7777 ORGANIZATION <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only= debtor name (2a or 2b) -do not abbreviate or combine names <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />Moss <br />Donna <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL <br />1410 Sheridan Place <br />Grand Island <br />NE <br />68803 <br />2d. TAX ID #: SSN OR EIN <br />A 12e. TYPE OF ORGANIZATION <br />2f. JURISDICTION OF ORGANIZATION <br />2g. ORGANIZATIOF <br />5 07 -44 -6896 <br />ORGANIZATION <br />DEBTOR <br />7 SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only ppg secured party name (3a or 3b) <br />ORGANIZATION'S NAME <br />Diversified Financial Services, Inc. <br />OR13a. <br />.. ... .... ..... .. _....._ <br />.... -- ..... _ <br />-- - - <br />any <br />any <br />14010 First National Bank Pkwy #205 I Omaha INE 168154 <br />4. This FINANCING STATEMENT covers the following collateral: <br />1 -Model 8000 Valley Irrigation Center Pivot 1302' w/Valley Supplied Acc., Freight, and Installation (non - towable) <br />1360' Underground Pipe & Wire <br />5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOR SELLER /BUYER JAG.UEN NON -UCC FILING <br />6. is is to e i e or recur or in a 7, ec to on a for s tech ESTATE RECORD if I All Debtors Debtor 1 Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />#8409801 <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />U <br />