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202605642
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Last modified
8/31/2026 12:57:44 PM
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8/31/2026 12:57:44 PM
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202605642
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202605642 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. N <br />b <br />OR <br />AME OF FIRST DEBTOR: Same as line 1a or 1b on Financing Statement; if line 1b was left blank <br />ecause Individual Debtor name did not fit, check here <br />9a. ORGANIZATION'S NAME <br />9b. INDIVIDUALS SURNAME <br />Nowicki <br />FIRST PERSONAL NAME <br />Michelle <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only gag additional Debtor name or Debtor name that did not fit in line 1b 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 />11.0 <br />OR <br />ADDITIONAL SECURED PARTY'S NAME <br />4C <br />gi <br />ASSIGNOR SECURED PARTY'S NAME: Provide only gggname (11a Oil lb) <br />11a. ORGANIZATION'S NAME <br />11 b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S);INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CO.bE <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 />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(if Debtor does not have a record interest): <br />Michelle Nowicki and Jon kleier <br />14. This FINANCING STATEMENT: <br />covers timber to be cut 0 covers as -extracted collateral ® is filed as a fixture filing <br />16. Description of real estate: <br />County of: HALL <br />Address: 420 Kennedy Ct,Grand Island,NE,68803 <br />APN: 400141809 <br />WOLFE'S SUB LT 24; MAP NUMBER: 33150-16190-000-0024 <br />17. MISCELLANEOUS: FIX <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 07/01/23) <br />
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