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/( P <br />N^ <br />d' <br />Y % - i& <br />200411433 <br />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 MIDDLE NAME,SUFFIX <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME <br />WERNER TAMARA <br />10. MISCELLANEOUS <br />6459310 -41 -1 <br />,510656 IPRIMEACCEPT <br />620030335 <br />File with: Hall County Register of Deeds, NE <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11 a or 11 b) - do not abbreviate or combine names <br />11 a. ORGANIZATION'S NAME <br />OR 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11 d. SEE INSTRUCTION DD'L INFO RE 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />RGANIZATION NONE <br />DEBTOR <br />12. <br />U ADDITIONAL 5tGUKtU 1-9iKi T OF LJ -0-1— •v = - - - - -- <br />12a. ORGANIZATION'S NAME <br />)R <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />12c. MAILING ADDRESS <br />13. This FINANCING STATEMENT covers F1 timber to be cut or F] as- extracted <br />16. Additional collateral description: <br />collateral or is filed as a FX1 fixture filing. <br />14. Description of real estate: <br />Description: PARCEL #4- 0000 -6324 ORIGINAL TOWN <br />LOT 7, BK 74 <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 11 Trustee acting with respect to property held in trust or Decedent's Estate <br />18. Check onlv 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 />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADUtNOUM (I-UKM Uuu iHa) (r«v. Uoicuu UCC <br />Prepared by UCC- Direct Services, Inc., P.O. Box 29071 <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />