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UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR 9b. INDIVIDUAL'S ST, NN,4,ME FIRST NAME MIDDLE NAME.SUFFIX ROHR ")" DONALD 10. MISCELLANEOUS 20041200'x- i. THE ABOVE 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insen nnly r,�a�a,,,P r��a �� 'I h1 - an nnr ahhro „iolo nr rnn,hl..� FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED 1la. ORGANIZATION'S NAME OR 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11d. TAX ID #: SSN OR EIN A I 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OFORGANIZATION 11g. ORGANIZATIONAL ID #. if any ORGANIZATION DEBTOR NONE 12. ADDITIONAL SECURED PARTY'S or I JASSIGNOR S /P'S NAME - insert only QfLQ name (12a or 12b) 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 13. This FINANCING STATEMENT covers timber to be cut or as- extracted 16. Additional collateral description: collateral, or is filed as a ® fixture fling. 14. Description of real estate. SW 1/4 SEC. 27 T -1 ON R -12W HALL COUNTY, NE 15. Name and address of a RECORD OWNER of above - described real estate (if Debtor does not have a record interest): DONALD ROHRICH 17. Check Qnty if applicable and check Qnly one box. Debtor is a D Trust ornrustee acting with respect to property held in trust o Decedent's Estate 18. Check Qp(y if applicable and check ,_.._..._ Debtor is a TRANSMITTING UTILITY - Filed in connection with a Manufactured -Home Transaction — effective 30 years - - Filed in connection with a Public- Finance Transaction — effective 30 years FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED