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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 9b. INDIVIDUAL'S LAST NAME <br />Buettner <br />10. MISCELLANEOUS: <br />FIRST NAME <br />Patrick <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME . insert <br />11 a. ORGANIZATION'S NAME <br />MIDDLE <br />E. <br />200405588 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />debtor name (11a or 11b) - do not abbreviate or combine names <br />"_ <br />I 11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />I POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />I ADD'L INFO RE I 11e. TYPE OF ORGANIZATION <br />ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />DEBTOR <br />NONE <br />12. <br />LJADDITIONAL SECURED PARTY'S or ASSIGNOR S /P'S NAME -insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />121b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />1POSTALCODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers ❑ timberto be cut or ❑ as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a 11 fixture filing. <br />14. Description of real estate: <br />Lot One (1), Vlach Subdivision in the City of Grand Island, <br />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 />17. Check only if applicable and check only one box. <br />Debtor is a Trust or Q Trustee acting with respect to property held in trust or Decedents <br />Estate <br />18. Check only if applicable and check only 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 for 30 years <br />Harland Financial Solutions <br />SECURED PARTY COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98)400 S.W. 6th Avenue, Portland, Oregon 97204 <br />