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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 91b. INDIVIDUAL'S LAST NAME FIRST NAME Mil HAPPOLD ROGER 10. MISCELLANEOUS 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- insert 1ta .ORGANIZATION'S NAME 200112521 I THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY name (1 la or 11b) - do not abbreviate or combine names FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) [=ST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE P COUNTRY 11d. TAX ID #: SSN OR EIN A 11 le. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR F1 NONE 12. ADDITIONAL SECURED PARTY'S gHASSIGNOR S /P'S NAME - insert only 20 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 n fixture filing. 14. Description of real estate: E 1/2 SW 1/4 SEC. 10 T -9 R -9 HALL COUNTY NE 15. Name and address of a RECORD OWNER of above - described real estate (if Debtor does not have a record interest): ROGER HAPPOLD 17. Check flply if applicable and check pply one box. Debtor is a n Trust or n Trustee acting with respect to property held in trust or Decedent's Estate 18. Check 213U if applicable and check Qp(y one box. ❑ Debtor is a TRANSMITTING UTILITY ❑ Filed 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)