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v -r UCC FINANCING STATEMENTADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR r — FIRST NAME MIDDLE Rick S. 10. MISCELLANEOUS: r �J, 200112201 I THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11. ADDITInNAI nFRTn R'S FXACT Fl II I I Fr;AI NAMF -;ne., i� FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) �, t7 11 a. ORGANIZATION'S NAME OR 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE P COUNTRY l ld. TAX ID #: SSN OR EIN A I 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR NONE 12. ADDITIONAL SECURED PARTY'S ,, ASSIGNORS /P'S NAME -insert only2m name (12a or 12b) 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY 13. This FINANCING STATEMENT covers timber to be cut or as- extracted 16. Additional collateral description: collateral, or is filed as a El fixture filing. 14. Description of real estate: N 1/2 Section 15; Township ION; Range 12W; Hall County, NE 15. Name and address of a RECORD OWNER of above - described real estate (if Debtor does not have a record interest): 17. Check 2aly if applicable and check 2aly one box. Debtor is a Trust or p Trustee acting with respect to property held in trust or Decedent's Estate 18. Check lay if applicable and check 2.LIl1C one box. 11 Debtor is a TRANSMITTING UTILITY nFiled in connection with a Manufactured -Home Transaction — effective 30 years Filed in connection with a Public- Finance Transaction — effective 30 years FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) �, t7