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CASH <br />CHECK JL/ ) <br />ZI-L005Z0Z <br />ICC FINANCING STATEMENT AMENDMENT <br />)LLOW INSTRUCTIONS <br />NAME & PHONE OF CONTACTAT SUBMITTER (optional) <br />AONICA CRUZ 308-382-9059 <br />E-MAIL CONTACTAT SUBMITTER (optional) <br />IICRUZ@CORNERSTONECONNECT.COM <br />® , SEND ACKNOWLEDGMENT TO: (Name and Address) <br />I -CORNERSTONE BANK <br />840 N DIERS AVE :;� ii`J <br />GRAND ISLAND <br />LE 68803 �(�� (r/ <br />y0�!ViM1 0$11 7—`H77 <br />SEE BELOW FOR SECURED PARTY CONTACT INFORMATION <br />T 7( <br />J <br />5 001 12 <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL CO,: TY NE <br />2015 FEU I0 A 9: 51 <br />KRISTI \VOLD <br />REGISTER OF DEEDS <br />se <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />la. INITIAL FINANCING STATEMENT ALE NUMBER 1b. This FINANCING STATEMENT AMENDMENT Is to be flied (for record) <br />202003281 ❑(or recorded) In the REAL ESTATE RECORDS. Filer, BIWAAAmendment Addendum <br />(Form UCC3Ad) gnat provide Debtor's name In Item 13. <br />2. ❑ TERMINATION: Effectiveness of the Financing Statement identified above Is terminated with respect to the security Interest(s) of Secured Pen(y)(les) authorizing this Termination Statement <br />3.0 ASSIGNMENT: Provide name of Assignee In Item 7a or 7b, ttng address of Assignee In Item 7cgnd name of Assignor In Item 9 <br />For partial assignment, complete Items 7 and 9; check ASSIGN Collateral box In Item 8 and describe the affected collateral In Item 8 <br />4.0 CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(e) of Secured Party authorizing thla Continuation Statement le continued for the <br />additional period provided by applicable law <br />5. PARTY INFORMATION CHANGE: <br />AN <br />Check gag of these two boxes: Q Check one of these three boxes to: <br />This Change affects 1�1DebtorgC red Pe of record CHANGE name and/or address: Complete DD name: Complete Item DELETE name: Give record name <br />9 Party ®Item fie or 6b; and Item 7a or 7b egg Item 7c L7a or 7b, sad hem 7c -to be deleted In Item ea or 6b <br />6. CURRENT RECO INFOR N: Complete for Party Information Change - provide only gag name (8a or eb) <br />OR <br />8a. ORGANIZATION'S NAME <br />fib. INDIVIDUAL'S SURNAME <br />RAINFORTH <br />FIRST PERSONAL NAME <br />TROY <br />ADDITIONAL NAME(S)ANITIAL(S) <br />M <br />SUFFIX <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment orParyln(om,aaonChange•provideonygalname(laorlb)(oreexact,Nlname;donotomitmodiy,aabbreviateenyannotato0ebtortname) <br />OR <br />7a. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'SADDITIONAL NAME(S)IINITIAL(S) <br />SUFFIX <br />7o. MAILING ADDRESS <br />207 SUNNY DR <br />CITY <br />DONIPHAN <br />STATE <br />NE <br />POSTAL CODE <br />68832-9784 <br />COUNTRY <br />USA <br />8, COLLATERAL CHANGE: Qheck only on box [ADD collateral co DELETE collateral RESTATE covered collateral 11:1ASSIGN` collateral <br />Indicate collateral: 'CheckASSlGN COLLATERAL ony a the assignee's power to emendate record Is anted to certain collateral end describe the colaleral In Section a <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gagname (9aor9b)(name ofAssignor, hthis IaanAssignment) <br />If this Is en Amendment authorized by a DEBTOR, check /rare❑ end provide name of authorizing Debtor <br />OR <br />9a. ORGANIZATION'S NAME <br />CORNERSTONE BANK <br />9b. INDMDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)IINITIAL(S) <br />SUFFIX <br />10, OPTIONAL FILER REFERENCE DATA: <br />LINE# 648154 COLL# 77815 <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 07/01/23) <br />