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200111862 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />I9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME, SUFFIX <br />Hostetler Eric Monroe <br />10. MISCELLANEOUS: <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11 b) . do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br />OR 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />1ld.TAXID#: SSN OR EIN ADD'L INFO RE 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID#, if any <br />ORGANIZATION <br />DEBTOR <br />12. ADDITIONAL SECURED PARTY'S or ❑ ASSIGNOR S /P'S NAME- insert only one name (12a or 12b) <br />OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or as- extracted 16. Additional collateral description: <br />collateral, or is filed as a a fixture filing. <br />14. Description of real estate: <br />W2 /3SW1 /4 28 -12 -11 Hall County <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />17. Check only if applicable and check only one box. <br />Debtor is a ❑ Trust or Trustee acting with respect to property held in trust or Decedent's Estate <br />18. Check only if applicable and check only one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction - effective 30 years <br />Filed in connection with a Public- Finance Transaction - effective 30 years <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />2 <br />