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202401465
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Last modified
4/5/2024 4:02:00 PM
Creation date
4/5/2024 4:01:59 PM
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202401465
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here <br />OR <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />Rathman <br />FIRST PERSONAL NAME <br />Adam <br />J <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />202401465 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or lob) only gag additional Debtor name or Debtor name that did not fit in line 1b 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 />Rathman <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />Adam <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. G71 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 />❑ 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 />SEE ATTACHMENT EXHIBIT "A" FOR LEGAL <br />DESCRIPTION. <br />17. MISCELLANEOUS: <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />Joseph <br />SUFFIX <br />10c. <br />103 <br />MAILING ADDRESS <br />W Green St <br />CITY <br />Wood River <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />11. <br />OR <br />SECURED PARTY'S NAME: Provide only gag name (11a or 11b) <br />• ADDITIONAL SECURED PARTY'S NAME or [] ASSIGNOR <br />11a. ORGANIZATIONS NAME <br />11b. INDIVIDUAL'S SURNAME <br />Rathman <br />FIRST PERSONAL NAME <br />Gwen <br />ADDITIONAL NAME(S)/INITIAL(S) <br />M <br />SUFFIX <br />110. MAILING ADDRESS <br />103 W Green St <br />CITY <br />Wood River <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />COUNTRY <br />USA <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. G71 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 />❑ 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 />SEE ATTACHMENT EXHIBIT "A" FOR LEGAL <br />DESCRIPTION. <br />17. MISCELLANEOUS: <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />
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