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202406458 UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS 9. OR AME OF FIRST DEBTOR: Same as fine la or 1b on Financing Statement; if line 1b was left blank ecause Individual Debtor name did not fit, check here El 9a. ORGANIZATION'S NAME 9b. INDIVIDUALS SURNAME Baasch FIRST PERSONAL NAME Claire ADDITIONAL NAME(S)/INITIAL(S) SUFFIX THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10. DEBTOR'S NAME: Provide (10a or lob) only mg 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; 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 INDIVIDUAL'S FIRST PERSONAL NAME INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11. OR ADDITIONAL SECURED PARTY'S NAME gt • ASSIGNOR SECURED PARTY'S NAME: Provide only gna name (11a or 11b) 11a. ORGANIZATIONS NAME 11b. 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 REAL ESTATE RECORDS (if applicable) 15. Name and address of a RECORD OWNER of real estate described in item 16 (if Debtor does not have a record interest): Claire Baasch the 14. This FINANCING STATEMENT: covers timber to be cut El covers as -extracted collateral ® Is filed as a fixture filing 16. Description of real estate: County of: HALL Address: 2508 RIVERSIDE DR,GRAND ISLAND,NE,68801 APN: 400083027 REPLAT OF RIVERSIDE ACRES ADD LT 19 BLK 2; MAP NUMBER: 3315-00-0-14380-002-0019 17. MISCELLANEOUS: FIX FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 07/01/23)