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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1 b) ON RELATED FINANCING STATEMENT <br />a. ORGANIZATION'S NAME <br />OR Holiday Garden Townhouses II <br />b. INDIVIDUAL'S LAST NAME FIRST NAME IM IDDLE NAME, SUFFIX <br />to. MISCELLANEOUS: <br />200308963 <br />I THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name It la or 11b) - 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 />11 c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />11d. TAX ID #: SSN OR EIN DD'L INFO RE 11 le. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />❑NONE <br />1,� F-1 AnnITIr)mm SFri iPF:n PARTY'S ,., n ASCIr`,KI0R S /P'S NAMF - i­ -1. — n.ma n9. - »hl <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98 <br />1 <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 />See attached Exhibit A for legal description. <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />Holiday Garden Townhouses II <br />2009 West Del Mar Avenue <br />Grand Island, Nebraska 68801 <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 />18. Check only if applicable and check only 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 STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98 <br />1 <br />