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202406052
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12/2/2024 9:57:27 AM
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12/2/2024 9:57:27 AM
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202406052
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202406052 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. N <br />AME OF FIRST DEBTOR: Same as line 1a 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 />MOLINA <br />FIRST PERSONAL NAME <br />ZOILA <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 gpg 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 />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />10c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11. <br />OR <br />IIII ADDITIONAL SECURED PARTY'S NAME gL II ASSIGNOR SECURED PARTY'S NAME: Provide only me name (11a or 11b) <br />11a. ORGANIZATION'S NAME <br />lib. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />13. ® This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <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 />ZOILA MOLINA <br />14. This FINANCING STATEMENT: <br />Ejcovers timber to be cut El covers es -extracted collateral ® is filed as a fixture filing <br />16. Description of real estate: <br />County of: HALL <br />Address: 1903 W 2ND ST,GRAND ISLAND,NE,68803 <br />APN: 400013959 <br />BAKER'S ADD N 90.5' LT 1 XC STATE BLK 14; MAP NUMBER: <br />3315-00-0-10195-014-0001 <br />17. MISCELLANEOUS: FIX <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 07/01/23) <br />
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