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202505732
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Last modified
10/14/2025 3:12:39 PM
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10/14/2025 3:12:39 PM
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202505732
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202505732 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. <br />OR <br />NAME OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line lb was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUAL'S SURNAME <br />PEREZ <br />FIRST PERSONAL NAME <br />MIKE <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />SR <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line lb 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 />10a. ORGANIZATION'S NAME <br />OR <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. ❑ ADDITIONAL SECURED PARTY'S NAME or ❑ ASSIGNOR SECURED PARTY'S NAME: Provide only one name (11a or tab) <br />11a. ORGANIZATION'S NAME <br />OR <br />11b. 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 />14. This FINANCING STATEMENT: <br />❑ covers amber to be cut ❑ covers as -extracted collateral ❑ is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(11 Debtor does not have a record interest): <br />MIKE PEREZ SR <br />MELINDA PEREZ <br />3132 WESTSIDE ST <br />GRAND ISLAND, NE 68803 <br />16. Description of real estate: <br />LOT 37, ISLAND ACRES NO. 7, IN THE CITY OF GRAND ISLAND, <br />HALL COUNTY, NEBRASKA <br />17. MISCELLANEOUS: <br />HALL, NE ISPC FILE # 1997118 <br />FILING OFFICE COPY —UCC FINANCING STATEMENTADDENDUM (Form UCC1Ad) (Rev. 07/01/23) RCS 2.0 <br />
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