Laserfiche WebLink
1 <br />202402025 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME <br />because <br />OR <br />OF FIRST DEBTOR: Same as line 15 or 1b on Financing Statement; if line lb was left blank <br />Individual Debtor name did not fit, check here II <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />OLIVARES <br />FIRST PERSONAL NAME <br />EDDIE <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only =additional Debtor name or Debtor name tha <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address In line 10c <br />R <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(SNINITIAL(S) <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />11. ADDITIONAL SECURED PARTY'S NAME g): ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only gni name (11a or 11b) <br />118. ORGANIZATIONS NAME <br />OR <br />11b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)IINITIAL(S) <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. ® Thls FINANCING STATEMENT Is to be flied [for record) (or recorded) In the <br />REAL ESTATE RECORDS (if applicable) <br />14. This FINANCING STATEMENT: <br />0 covers timber to be cut Ca coven as -extracted collateral ® is filed as a ftxture 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 />EDDIE OLIVARES <br />16. Description of real estate: <br />County of: Hall <br />Address: 625 E 12Th St, GRAND ISLAND, NE, 68801 <br />APN: 400424541 <br />BACKER SUB LT 4; MAP NUMBER: 3315-00-0-10175-000-0004 <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 07/01/23) <br />