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i <br />r <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 200408435 <br />9a. ORGANIZATION'S NAME <br />OR MIDDLE NAME,SUFFIX <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME <br />PANOWICZ MICHAEL <br />10. MISCELLANEOUS: <br />a <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 11b) -do not abbreviate or combine 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 I <br />POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />ADD'L INFO RE 1 Ile. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />I <br />NONE <br />DEBTOR I I <br />12. <br />ADDITIONAL SECURED PARTY'S nc ASSIGNOR S /P'S <br />NAME - insert only one name (12a or 12b) <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 ®fixture filing. <br />14. Description of real estate. <br />SEi SEC. 22 T -12 R -11 <br />HALL COUNTY, NE <br />15. Name and address of a RECORD OWNER of above- described real estate <br />_ <br />(if Debtor does not have a record interest): <br />MICHAEL & PATRICIA PANOWICZ <br />17. Check Qaly if applicable and check only one box. <br />Debtor is a Trust o rustee acting with respect to property held in trust o Decedent's Estate <br />18. Check only if applicable and check <br />is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction — effective 30 years <br />flDebtor <br />Filed in connection with a Public- Finance Transaction — effective 30 years <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENUUM Q-0KM UUUTAa) (Ktv, U zvitjo) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />