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im <br />IUCC 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 <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE <br />SULLIVAN ROGER M <br />10. MISCELLANEOUS <br />200300247 <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 />1 la, ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />11d. TAX ID #: SSN OR EIN A INFO RE 1 1e. TYPE OF ORGANIZATION t tf. JURISDICTION OF ORGANIZATION 1 1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. ADDITIONAL SECURED PARTY'S or Ej ASSIGNOR S /P'S NAME - insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME I FIRST NAME MIDDLE NAME SUFFIX <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or ❑ 3s- extracted <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />THE EAST HALF OF THE NORTHEAST QUARTER (E112NE114)AND THE <br />NORTHEAST QUARTER OF THE SOUTHEAST QUARTER (NE 114SE 114) OF <br />SECTION TWO (2), TOWNSHIP NINE (9) NORTH, RAN(l NINE (9) WEST OF <br />THE GTH P.M., HALL COUNTY, NEBRASKA <br />I 15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />CITY STATE IPOSTALCODE COUNTRY <br />16. Additional collateral description: <br />17. Check only if applicable and check only one box. <br />Debtor is a ❑ Trust or ❑ Trustee acting with respect to property held in trust or ❑ Decedent's Estate <br />1d. Check only if applicable and check 2aly 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 />FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMLNT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) Bankers Systems, Inc., tit. Cloud, MN Form UCC- IADD -LAZ 5/30/2001 <br />xuleq a 'drl(iau Mine <br />a <br />