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P UCC FINANCING STATEMENTADDENDUM FOLLOW INSTRUCTIONS front and back CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR 9b. INDIVIDUAL'S WNAME .'s . �' FIRST NAME MIDDLE NAME,SUFFIX Moss Donald F. 10. MISCELLANEOUS: 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- insert only 20 name (11a or 11b) -do not ra7RGANIZATI 'S NAME 200111173 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY combine names C3 FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) 0 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11d. TAX ID #: SSN OR EIN ADD'L INFO RE 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR NONE 12. ADDITIONAL SECURED PARTY'S =HASSIGNOR S /P'S NAME - insert only Me name (12a or 12b) 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY ICOUNTRY 13. This FINANCING STATEMENT covers timber to be cut or as- extracted 16. Additional collateral description: collateral, or is filed as a El fixture filing. 14. Description of real estate: SE 1/4 Section 20; Township ION; Range 12W; Hall County, NE 15. Name and address of a RECORD OWNER of above - described real estate (if Debtor does not have a record interest): 17. Check poly if applicable and check poly one box. Debtor is a n Trust or n Trustee acting with respect to property held in trust or Decedent's Estate 18. Check poly if applicable and check poly one box. H Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured -Home Transaction — effective 30 years Filed in connection with a Public- Finance Transaction — effective 30 years FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) 0