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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 PRAIRIE CREEK FARMS, INC. <br />9b. INDIVIDUAL'S LAST NAME I FIRST NAME MII <br />10. MISCELLANEOUS: <br />11. ADDITIONAL DFRTOR'.R FXArT FI u I i ccni ­1k <br />200404555 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />- - - - ° -- ----- • •• • •••.���•..., r, �wr"11 1 rwvcrvvUiw (r-UMIVI Uut.,1A(1) (KLV. U!/29/98) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />ewiev or comoine names <br />11 a. ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />l ld. TAX ID #: SSN OR EIN <br />ADD'L INFO RE 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 1lg. ORGANIZATIONAL ID #, if <br />ORGANIZATION <br />any <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S ASSIGNOR S /P'S <br />NAME - insert only Qpg name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME 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 m fixture filing. <br />14. Description of real estate. <br />E 1/2 OF NW 1/4 <br />SEC 27, T 11 N, R 11 W <br />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 />DOUGLAS D. THOMPSON <br />DIANNE L. THOMPSON <br />17. Check Qnlyif applicable and check aWy one box. <br />Debtor is a D Trust o _ ' rustee acting with respect to property held in trust o Decedent's Estate <br />18. Check ojy if applicable and check _ ' <br />Debtor is a TRANSMITTING UTILITY <br />...... Filed in connection with a Manufactured -Home Transaction — effective 30 years <br />Pit IAIG ncclr`c rnev r.inr�u� .... �.•..,....... __._ -. ._. . - - -_.. <br />Filed in connection with a Public- Finance Transaction — effective 30 years <br />- - - - ° -- ----- • •• • •••.���•..., r, �wr"11 1 rwvcrvvUiw (r-UMIVI Uut.,1A(1) (KLV. U!/29/98) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />