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CASH CHECK ,cA ) Ni U1 OD rnl C FINANCING STATEMENT .OW INSTRUCTIONS TAME & PHONE OF CONTACT AT SUBMITTER (optional) IN ; Zi Brea Quadhamer MAIL CONTACT AT SUBMITTER (optional) uad ham er@cornersto neco n nect. corn TEND ACKNOWLEDGMENT TO: (Name and Address) Cornerstone Bank �`�� P. Bo ®Q eN- lv 9 Hil133 r'• ercial .Ave %%vj �rY�O I Hi1dr- h, N •898947 </� lY ! EE BELOW FOR SECURED PARTY CONTACT INFORMATION 0 1 0 'b b REFUNDS: CASH CHECK 4 EGODED HALL C , ,,E Y NE LULJ APR 1 Li A 9` 34 hi i. i I 't'L/ OLD REGISTER OF DEEDS THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1. DEBTOR'S NAME: Provide only one Debtor name (1a or lb) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's name will not fain line lb, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) la. ORGANIZATION'S NAME 'r ' lb. INDIVIDUAL'S SURNAME PanowicZ:, FIRST PERSONAL NAME Robert ADDITIONAL NAME(S)/INITIAL(S) M SUFFIX 1c. MAILING ADDRESS 4525 N 110th Rd CITY Cairo STATE NE POSTAL CODE 68824-9491 COUNTRY USA 2. DEB OR' NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtors name); if any part of the Individual Debtor's name will not St in line 2b, leave all of item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) OR 2a. ORGANIZATION'S NAME 2b. INDIVIDUAL'S SURNAME Panowicz FIRST PERSONAL NAME Rebecca ADDITIONAL NAME(S)/INITIAL(S) M SUFFIX 2c. MAILING ADDRESS 4525 N 110th Rd CITY Cairo STATE NE POSTAL CODE 68824-9491 COUNTRY USA 3. SECURED PARTY S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide OR 3a. ORGANIZATION'S NAME Cornerstone Bank 3b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 3c. MAILING ADDRESS P.O. Box 127, 133 Commercial Ave CITY Hildreth STATE NE POSTAL CODE 68947 COUNTRY ; USA . COLLATERAL: This financing statement covers the following collateral: a Zimmatic 10 Tower Pivot Serial #LA2971 5. Check only if applicable and check oniv one box: Collateral is ❑ held in a Trust (see UCC1Ad, item 17 and Instructions) 6a. Check only if applicable and check only one box: ❑ Public -Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility 7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer 8. OPTIONAL--1 f3EFEj2EyCE DATA: ❑ being administered by a Decedent's Personal Representative 6b. Check only if applicable and check only one box: ❑ Agricultural Lien ❑ Bailee/Bailor ❑ Non-UCC Filing ❑ Licensee/Licensor FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 07/01/23) Finastra 555 SW Morrison, Suite 300, Portland, OR 97204-1440