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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME <br />BELLAMY <br />10. MISCELLANEOUS: <br />NAME <br />MIDDLE N <br />BRUCE I A <br />200400365 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name f11 a or 11 bI - do not abbreviate or combine names <br />��55 p 7 REORDER FROM <br />LO LING OFF 514 PIERCE r <br />ICE COPY NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) RagisE ST. Inc. <br />P.O. BOX 218 <br />ANOKA. MN. 55303 <br />(763) 421 -1713 <br />11 a. ORGANIZATION'S NAME <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />I POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY S or ASSIGNOR S /P'S <br />NAME - insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />NE 1/4 SECTION 10 - 12 - 12 <br />HALL COUNTY, NEBRASKA <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />BRUCE BELLAMY <br />17. Check only if applicable and check only one box. <br />Debtor is a Trust or n Trustee acting with respect to property held intrust or <br />Decedents Estate <br />18. Check only if applicable and check only one box. <br />8 Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction — effective 30 years <br />Filed in connection with a Public- Finance Transaction — effective 30 years <br />��55 p 7 REORDER FROM <br />LO LING OFF 514 PIERCE r <br />ICE COPY NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) RagisE ST. Inc. <br />P.O. BOX 218 <br />ANOKA. MN. 55303 <br />(763) 421 -1713 <br />