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200405004
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Last modified
10/16/2011 4:20:19 PM
Creation date
10/21/2005 1:28:17 AM
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DEEDS
Inst Number
200405004
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- <br />o- y <br />FINANCING STATEMENT ADDENDUM 200405004 <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY I <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDI L'S LAST NAME j FIRST NAME MIDDLE NAME,SUFFIX <br />H ARAT M TEIN BRIAN M <br />10. MISCELLANEOUS <br />6244714 -40 -1 <br />5140601FARMCRD <br />267 <br />File with: Hall, NE <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (1 la or 11 b) - do not abbreviate or combine names <br />12. I I AnDITinNAI SFCI IRFn PARTY'S nr I I ASSI(`,NnR S /P'a NAMF - insert nnly nnp names 119= nr 19hl <br />11a. 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 />I POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />DDT INFO RE <br />11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION <br />11 g. ORGANIZATIONAL ID #, if any <br />RGANIZATION <br />TOGETHER WITH ALL BUILDING & IMPROVEMENTS <br />SITUATED THERON OF HALL COUNTY NEBRASKA. <br />EBTOR <br />15. Name and address of a RECORD OWNER of above - described real estate <br />11 NONE <br />12. I I AnDITinNAI SFCI IRFn PARTY'S nr I I ASSI(`,NnR S /P'a NAMF - insert nnly nnp names 119= nr 19hl <br />Prepared by FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) C A 9120 9120 9 --9090 Services, Inc., P.O. Box 29071 <br />Glendale, C71 Tel (800) 331 -3282 <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 F] as- extracted <br />16. Additional collateral description: <br />collateral or is filed as a [X1 fixture filing. <br />14. Description of real estate: <br />Description: SW 1/4 SEC 13 TWP 9N RG 9W OF 6TH PM <br />TOGETHER WITH ALL BUILDING & IMPROVEMENTS <br />SITUATED THERON OF HALL COUNTY NEBRASKA. <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />ALEXANDER FAMILY TRUST <br />17. Check only if applicable and check only one box. <br />Debtor is a 1 Trust or El Trustee acting with respect to property held in trust or ❑ Decedent's Estate <br />18. Check only if applicable and check only one box. <br />F] 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 />Prepared by FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) C A 9120 9120 9 --9090 Services, Inc., P.O. Box 29071 <br />Glendale, C71 Tel (800) 331 -3282 <br />
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