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UCC FINANCING TE <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />A. NAME & PHONE OF CONTACT AT FILER [optional) <br />1 <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />F— Union Bank & Trust Company <br />PO Box 5166 <br />2008 N Webb Road <br />Grand Island, Ne 68802 <br />OR <br />200111372 <br />-jI THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />BTOR'S EXACT FULL LEGAL NAME - insert only ong debtor name (1a or 1b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />Ib. INDIVIDUAL'S LAST NAME <br />FIRSTNAME <br />MIDDLE NAME <br />tc. MAILING ADDRESS CITY STATE I POSTAL CODE <br />#73 Kuester Lake Grand Island NE 68801 <br />1d. TAX IDS: SSNOR EIN ADD'L INFO RE le. TYPE OF ORGANIZATION if. JURISDICTION OF ORGANIZATION 1 g. ORGANIZATIONAL ID a, if any <br />ORGANIZATION <br />506 -60 -818 1 DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />r2bINDIVIDUAL'S LAST NAME FIRSTNAME MIDDLE NAME <br />Sickler LaDonna <br />2c MAILING ADDRESS CITY STATE POSTAL CODE <br />#73 Kuester Lake Grand Island NE 68801 <br />2d. TAX ID 0. SSNOR EIN ADD'L INFO RE 1e. IYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID e, if any <br />ORGANIZATION <br />DE81OR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) • insert only one secured party name (3a or 3b) <br />3a ORGANIZATION'S NAME <br />r"Ininn Rank & Trust ComDanv Grand Island Branch <br />SUFFIX <br />:OUNTRY <br />❑ NONE <br />SUFFIX <br />COUNTRY <br />0 NONE <br />vn <br />3b. INDIVIDUAL'S LAST NAME <br />FIRSTNAME <br />MIDDLE NAME <br />SUFFIX <br />3c. MAILING ADDRESS <br />CITY Grand Island <br />STATE <br />POSTAL CODE <br />COUNTRY <br />PO Box 5166 <br />NE <br />68803 <br />1, This FINANCING STATEMENT covers the following collateral. <br />the residence house and all other improvements now or hereafter situated on a <br />leasehold, and all appurtenances thereto, of frame construction and said residence <br />house being situated upon <br />Lot Twenty (20), having a lake front footage of 75 feet situated on the East side <br />of the Westerly portion of Kuester Lake and being on a part of the East Half of the <br />Southwest Quarter (E1 /2SW1 /4) in Section mh'_rteen (13), Township Eleven (11) North, <br />Range Nine (9) West of the 6th P.M., Hall County, Nebraska <br />including any improvements, accessions, accessories, parts, or equipment now or hereafter <br />affixed thereto. <br />5. ALTERNATIVE CDESIGggNATION III applicable): LESSEEILESSOR CONSIGNEE/CONSIGNOR BAILEE/BAILOR SELLER/BUYER AG. LIEN NON•UCC FILING <br />6. ❑ ESTATE RECORDS. FINANCING TATEMENT Is A be filed [for record) (or recerdedlil el1he REAL e, 7 Check RECI FE ]T SEARCH REPORTISSPoonnDebtor(s) E)AII Debtors ODeb,or 1 ❑ Debtor 2 <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98)r Bankers Systems, Inc., St. Cloud, MN <br />-0560 (0103) VMP MORTGAGE FORMS - (800)521. 7291 Form UCC -1 -LAZ 8/13/2000 <br />e <br />