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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME <br />MOSS DONALD <br />10. MISCELLANEOUS: <br />y. <br />200401441 <br />' THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. AD D EXACT FULL LEGAL NAME - insert only one name (11a or 11 b) - do not abbreviate or combine names <br />12. ADDITIONAL SECURED PARTY'S <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />12c. MAILING ADDRESS <br />ASSIGNOR S /P'S NAME - insert only one name (12a or 12b) <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or ❑ as- extracted <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />The goods are or are to become fixtures on: <br />The Southeast Quarter (SE1 /4) of Section <br />19, Township 10 North, Range 12 West of the <br />6th P.M., Hall County, NE and the Southeast <br />Quarter (SE1 /4) of Section 22, Township 11 <br />North, Range 11 West of the 6th P.M., Hall <br />County, NE. <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />NTRY <br />16. Additional collateral description: <br />17. Check 22!X if applicable and check 221X one box. <br />Debtor is a ❑ Trust or ❑ Trustee acting with respect to property held in trust or ❑ Decedent's Estate <br />18. Check 2=1 if applicable and check 2=1 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. 07129/98) Bankers Systems, Inc., St. Cloud, MN Form UCC- tADD -LAZ 5/30/2001 <br />