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A. NAME & PHONE OF CONTACT AT FILER [optional] B. SEND ACKNOWLEDGMENT TO: (Name and Address) J ' Acct # 0 _ Union Bank and Trust Company -Grand Island 2008 North Webb Road Grand Island, NE 68803 1. DEBTOR'S EXACT FULL LI 1a. ORGANIZATION'S NAME 70 M FIRST NAME n C SUFFIX z M n D MIDDLE NAME SUFFIX 2c. MAILING ADDRESS Powers UCC FINANCING STATEMENT I I FOLLOW INSTRUCTIONS (front and back) CAREFULLY 1c. MAILING ADDRESS A. NAME & PHONE OF CONTACT AT FILER [optional] B. SEND ACKNOWLEDGMENT TO: (Name and Address) J ' Acct # 0 _ Union Bank and Trust Company -Grand Island 2008 North Webb Road Grand Island, NE 68803 1. DEBTOR'S EXACT FULL LI 1a. ORGANIZATION'S NAME —1 I THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY L NAME - insert only one debtor name (1a or 1 b) - do not abbreviate or combine names k;p0 OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLENAME SUFFIX 2 FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS Powers M 1n POSTAL CODE COUNTRY 1c. MAILING ADDRESS CITY STATE n z COUNTRY #11 Kuesters Lake Grand Island NE 168801 USA 1d. TAX ID #: SSN OR EIN ADD'L INFO RE 11 a. TYPE OF ORGANIZATION If. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any 3a. ORGANIZATION'S NAME ORGANIZATION 1 OR 482 -30 -0674 DEBTOR I I 1 ® NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names POSTAL CODE COUNTRY 2a. ORGANIZATION'S NAME Grand Island NE I 68803 USA 7D G, N > r? I t_ -c m o cn CD �1 z s r--i- C cry ter' z rn "l7 co r 0 M co r- >a cn 20040521" `° -� —1 I THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY L NAME - insert only one debtor name (1a or 1 b) - do not abbreviate or combine names k;p0 OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLENAME SUFFIX 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS Powers David POSTAL CODE COUNTRY 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY #11 Kuesters Lake Grand Island NE 168801 USA 1d. TAX ID #: SSN OR EIN ADD'L INFO RE 11 a. TYPE OF ORGANIZATION If. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any 3a. ORGANIZATION'S NAME ORGANIZATION 1 OR 482 -30 -0674 DEBTOR I I 1 ® NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names POSTAL CODE COUNTRY 2a. ORGANIZATION'S NAME Grand Island NE I 68803 — i ms nrvn rvi, uvv o in i r m i covers me ronow mg conarerar the residence house and all other improvements now or hereafter situated on a leasehold, and all appurtenances thereto, of frame construction and said residence house being situated upon Lot Twenty -One (21) situated on the West side of the West Portion of Kuester Lake and being on a part of the East Half of the Southwest Quarter (E1 /2 SW1 /4) of Section Thirteen (13), Township Eleven (11) North, Range Nine (9) West of the 6th P.M., Hall County, Nebraska including any improvements, accessions, �assessories, partsr -aF equipment now or hereafter affixed thereto. 01 r1 � 5. ALTERNATIVE DESIGNATION (if applicable]: p LESSEEILESSOR ❑ CONSIGNEE/CONSIGNOR ❑ BAILEE/BAILOR SELLERIBUYER ❑ AG. LIEN ❑ NON -UCC FILING 8 This FINANCING STATEMENT is to be filed (for record] (or recorded in the REAL 7 Check to REQUEST SEARCH REPORT(S) on Debtor(s) All Debtors Debtor 1 ❑ ESTATE RECORDS. Attach Addendum �ii applicable) (ADDITIONAL FEE] [optional] ❑ ❑ ❑ Debtor 2 SECURED PARTY COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) Bankers Systems, Inc., St. Cloud, MN (M C550 (0108).02 VMP MORTGAGE FORMS - (800)521- 7291 Form UCC -1 -LAZ 5/30/2001 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLENAME SUFFIX Powers Rosemary 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY #11 Kuesters Lake Grand Island NE I 68801 USA 2d. TAX ID #: SSN OR EIN ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR I I ® NONE 3. SECURED PARTY'S NAME (or NAM E of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only one secured party name (3a or 3b) 3a. ORGANIZATION'S NAME Union Bank and Trust Com an -Grand Island OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 2008 North Webb Road Grand Island NE I 68803 USA — i ms nrvn rvi, uvv o in i r m i covers me ronow mg conarerar the residence house and all other improvements now or hereafter situated on a leasehold, and all appurtenances thereto, of frame construction and said residence house being situated upon Lot Twenty -One (21) situated on the West side of the West Portion of Kuester Lake and being on a part of the East Half of the Southwest Quarter (E1 /2 SW1 /4) of Section Thirteen (13), Township Eleven (11) North, Range Nine (9) West of the 6th P.M., Hall County, Nebraska including any improvements, accessions, �assessories, partsr -aF equipment now or hereafter affixed thereto. 01 r1 � 5. ALTERNATIVE DESIGNATION (if applicable]: p LESSEEILESSOR ❑ CONSIGNEE/CONSIGNOR ❑ BAILEE/BAILOR SELLERIBUYER ❑ AG. LIEN ❑ NON -UCC FILING 8 This FINANCING STATEMENT is to be filed (for record] (or recorded in the REAL 7 Check to REQUEST SEARCH REPORT(S) on Debtor(s) All Debtors Debtor 1 ❑ ESTATE RECORDS. Attach Addendum �ii applicable) (ADDITIONAL FEE] [optional] ❑ ❑ ❑ Debtor 2 SECURED PARTY COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) Bankers Systems, Inc., St. Cloud, MN (M C550 (0108).02 VMP MORTGAGE FORMS - (800)521- 7291 Form UCC -1 -LAZ 5/30/2001