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202401356
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Last modified
4/1/2024 4:04:31 PM
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4/1/2024 4:04:31 PM
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202401356
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. <br />OR <br />TAME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if Zine 1b was left blank <br />ecause Individual Debtor name did not fit, check here El <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />HARRENSTEIN <br />FIRST PERSONAL NAME <br />LARRY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />262401356 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only gna additional Debtor name or Debtor name hat did not fit In line 1 b or 2b of the Financing Statement (Form UCC1) (use exact, full name; <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />OR <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />HARRENSTEIN <br />ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. ❑ This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut 0 covers as -extracted collateral © is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(If Debtor does not have a record interest): <br />16. Description of real estate: <br />LOT ONE (1), ARMES 'LAZY ARES' SECOND SUBDIVISION, <br />HALL COUNTY, NEBRASKA. <br />17. MISCELLANEOUS: <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Adj (Rev. 04/20/11) <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />LARRY <br />INDIVIDUAL'S ADDITIONAL NAMES)/INITIAL(S) <br />MAURICE <br />SUFFIX <br />10c. MAILING ADDRESS <br />13340 S LOCUST ST <br />CITY <br />DONIPHAN <br />STATE <br />NE <br />POSTAL CODE <br />68832 <br />COUNTRY <br />USA <br />11.. <br />OR <br />ADDITIONAL SECURED PARTY'S NAME 4[ ASSIGNOR SECURED PARTY'S NAME: Provide only mi@ name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />11b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. ❑ This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut 0 covers as -extracted collateral © is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(If Debtor does not have a record interest): <br />16. Description of real estate: <br />LOT ONE (1), ARMES 'LAZY ARES' SECOND SUBDIVISION, <br />HALL COUNTY, NEBRASKA. <br />17. MISCELLANEOUS: <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Adj (Rev. 04/20/11) <br />
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