202402778 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. OR TAME OF FIRST DEBTOR: Same as line la or lb on Financing Statement; if line 1b was left blank ecause Individual Debtor name did not fit, check here 98. ORGANIZATION'S NAME 9b. INDIVIDUAL'S SURNAME Dibbern FIRST PERSONAL NAME Michael ADDITIONAL NAME(S)/INITIAL(S) J SUFFIX 202.402778 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTORS NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not ft in line lb or 2b of the Financing Statement (Form UCC1) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c OR 10a. ORGANIZATION'S NAME 10b. INDIVIDUAL'S SURNAME Dibbern INDIVIDUAL'S FIRST PERSONAL NAME Lori INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) L SUFFIX 10c. MAILING ADDRESS 1787 S NE Hwy 11 CITY Wood River STATE NE POSTAL CODE 68883-0000 COUNTRY USA 11. 0 ADDITIONAL SECURED PARTY'S NAME or 0 ASSIGNOR SECURED PARTY'S NAME: Provide only name (11a or 11b) OR 11a. ORGANIZATION'S NAME tib. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): 13. ❑ This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL ESTATE RECORDS (if applicable) 14. This FINANCING STATEMENT: 0 covers timber to be cut 0 covers as -extracted collateral 0 is filed as a fixture filing 15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): 16. Description of real estate: The West Half of the Northeast Quarter (W1/2NE1/4) of Section Two (2), Township Ten (10) North, Range Twelve (12) West of the 6th P.M., Hall County, Nebraska. 17. MISCELLANEOUS: FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) Finastra 1320 SW Broadway, Sults 100, Portland, OR 97201-3411