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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 />ga. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAMES <br />O'BRIEN ILEVERN EDWARD <br />10. MISCELLANEOUS <br />200401686 <br />' THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only 2= name (1 la or 11 b) - do not abbreviate or combine names <br />11 a. ORGANIZATION'S NAME <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. SEE INSTRUCTIONS <br />ADD'L INFO RE 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR 1 <br />1 <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S st ASSIGNOR S /P'S <br />NAME -insert only2m name (12aor12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a 0 fixture filing. <br />14. Description of real estate: <br />SE1/4SW1 /4 &SW1 /4SW1 /4 28 -10 -12 <br />NWl /4 33- 10 -12, ALL IN HALL 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 />17. Check 901y if applicable and check 201y one box. <br />Debtor is a Trust or Trustee acting with respect to property held in trust or FI Decedent's Estate <br />18. Check 201y if applicable and check g0(y 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 — UCC FINANCING STATEMENT ADDENDUM (FORM UCCIIAd) (REV. 05/22/02) <br />