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FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />19a. ORGANIZATION'S NAME I <br />OR <br />r9INR VID UAL'S LAST NAME <br />NER <br />10. MISCELLANEOUS <br />6459311-41-1 <br />510656 IPRI[MEACCEPT <br />g <br />620030335 <br />i''ile with: Hall, NE <br />FIRST NAME MIDDLE NAME,SUFFIX <br />TAMARA <br />200411434 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1'1. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11 a or 11 b) - do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. 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 11 g. ORGANIZATIONAL ID #, if any <br />E RGANIZATION <br />EBTOR 11 NONE <br />12. L ADDITIONAL SECURED PARTY'S or L ASSIGNOR S /P's NAME - insert only one name (12a or <br />12a. ORGANIZATION'S NAME <br />OR <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or F1 as- extracted 16. Additional collateral description: <br />collateral or is filed as a X 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 a11 Trust or 11 Trustee acting with respect to property held in trust or 11 Decedent's Estate <br />18. Check only if applicable and check only one box. <br />Debtor is a TRANSMITTING UTILITY <br />QFiled 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 ADDENDUM FORM UCC1Acl REV. 05/22/02 Prepared C 9120 -90 Services. Inc., P.O. Box 29071 <br />( ) ( ) Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />T <br />