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200407297 <br />FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT l <br />9a. ORGANIZATION'S NAME <br />OR <br />91b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX <br />, DAVI KEVIN A <br />•j10. MISCELLANEO <br />16321197 -41 -1 <br />514060 IFARMCRD <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 (11a or 11 b) - do not abbreviate or combine names <br />12. I I AnnITIr1NA1 RFr.1 IRP:n PARTY'.. nr I I A.RIr;NnR. /P'c NAMF - incart nnlv nna names (19a nr 19b1 <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 />I POSTAL CODE <br />COUNTRY <br />11 d. SEE INSTRUCTION <br />DD'L INFO RE <br />11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION <br />11 g. ORGANIZATIONAL ID #, if any <br />RGANIZATION <br />11 W OF HALL CO NEBRASKA <br />15. Name and address of a RECORD OWNER of above- described real estate <br />DEBTOR <br />(if Debtor does not have a record interest): <br />NONE <br />12. I I AnnITIr1NA1 RFr.1 IRP:n PARTY'.. nr I I A.RIr;NnR. /P'c NAMF - incart nnlv nna names (19a nr 19b1 <br />Prepared by FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM ( FORM UCC1Ad )( ) REV. 05/22/02 CA Services, Inc., P.O. Box 290/1 <br />Glendale, CA 91209 -9071 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 ❑ as- extracted <br />16. Additional collateral description: <br />collateral or is filed as a X fixture filing. <br />14. Description of real estate: <br />Description: N 1/2 SW 1/4 OF SEC 18, TWP 10N, RG <br />11 W OF HALL CO 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 />KEVIN A & KAREN D DAVIS <br />17. Check only if applicable and check only one box. <br />Debtor is a1:1Trust or 11 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 />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. 05/22/02 CA Services, Inc., P.O. Box 290/1 <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />