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200308981
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Last modified
10/16/2011 2:23:49 AM
Creation date
10/21/2005 7:07:06 PM
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200308981
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UCC FINANCING STATEMENT <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />A. NAME d PHONE OF CONTACT AT FILER [optional] <br />Sandi Ammon (308) 389 -421 <br />B. SEND ACKNOWLEDGEMENT TO: (Name and Address) <br />W` Ms F ra gp Bank Nebraska <br />Attn; Sandi Ammon <br />304 W 3rd St. <br />Grand Island, NE 68801. <br />1. DEBTOR'S EXACT FULL LEGAL NAME <br />Fla. ORGANIZATION'S NAME <br />debtor name (1 a or 1 b) - do not abbreviate or combine names <br />OR 1b. INDIVIDUAL'S LAST NAME <br />Rowley <br />1c. MAILING ADDRESS <br />1105 Howard Avenue <br />1d. TAX ID #: SSN OR EIN ADD'L INFO RE 1e. TYPE OF ORGANIZATION <br />ORGANIZATION I Individual <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only of <br />2a. ORGANIZATION'S NAME <br />FIRST NAME <br />Michael <br />CITY <br />St. Paul <br />1f. JURISDICTION OF ORGANIZATION <br />MIDDLE NAME <br />P. <br />STATE I POSTAL CODE <br />NE 68873 <br />1g. ORGANIZATIONAL ID #, if any <br />debtor name (2a or 2b) - do not abbreviate or combine names <br />OR 2b INDIVIDUAL'S LAST NAME <br />Rowley <br />2c. MAILING ADDRESS <br />1105 Howard Avenue <br />2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 12e. TYPE OF ORGANIZATION <br />ORGANIZATION ( Individual <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR <br />3a. ORGANIZATION'S NAME <br />Wells Fargo Bank Nebraska, National Association <br />OR 3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />Marlene <br />CITY <br />St. Paul <br />2f. JURISDICTION OF ORGANIZATION <br />insert only one secured oarty name (3a or <br />FIRST NAME <br />MIDDLE NAME <br />T. <br />STATE I POSTAL CODE <br />NE 68873 <br />2g. ORGANIZATIONAL ID #, if any <br />MIDDLE NAME <br />Aso <br />USA <br />SUFFIX <br />USA <br />SUFFIX <br />041?F4 <br />3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />— 304 W 3rd St I Grand Island I NE 68801 <br />4. This FINANCING STATEMENT covers the following collateral: <br />All Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating <br />to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including <br />insurance, general intangibles and accounts proceeds) <br />8 This FINANCING STATEMENT is to be filed [for record) (or recorded) in the REAL 7 Check to REQUEST SEARCH REPORTS) on Debtors) All Debtors Debtor 1 Debtor 2 CORDS JADDITION S. OPTIONAL FILER REFERENCE DATA <br />6694941127 <br />Harland Financial Solutions <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 87204 <br />0 <br />a <br />L <br />6; <br />I <br />T <br />C <br />n <br />=� <br />c> U> <br />fTt <br />Z <br />�' <br />w <br />O --i <br />O <br />�_ , <br />M D C:' <br />= <br />-� rr) <br />CD <br />CD <br />3 <br />C <br />(Do <br />u <br />' <br />AT <br />CO <br />CD <br />C J <br />Cf' <br />Z <br />200308981 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />debtor name (1 a or 1 b) - do not abbreviate or combine names <br />OR 1b. INDIVIDUAL'S LAST NAME <br />Rowley <br />1c. MAILING ADDRESS <br />1105 Howard Avenue <br />1d. TAX ID #: SSN OR EIN ADD'L INFO RE 1e. TYPE OF ORGANIZATION <br />ORGANIZATION I Individual <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only of <br />2a. ORGANIZATION'S NAME <br />FIRST NAME <br />Michael <br />CITY <br />St. Paul <br />1f. JURISDICTION OF ORGANIZATION <br />MIDDLE NAME <br />P. <br />STATE I POSTAL CODE <br />NE 68873 <br />1g. ORGANIZATIONAL ID #, if any <br />debtor name (2a or 2b) - do not abbreviate or combine names <br />OR 2b INDIVIDUAL'S LAST NAME <br />Rowley <br />2c. MAILING ADDRESS <br />1105 Howard Avenue <br />2d. TAX ID #: SSN OR EIN I ADD'L INFO RE 12e. TYPE OF ORGANIZATION <br />ORGANIZATION ( Individual <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR <br />3a. ORGANIZATION'S NAME <br />Wells Fargo Bank Nebraska, National Association <br />OR 3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />Marlene <br />CITY <br />St. Paul <br />2f. JURISDICTION OF ORGANIZATION <br />insert only one secured oarty name (3a or <br />FIRST NAME <br />MIDDLE NAME <br />T. <br />STATE I POSTAL CODE <br />NE 68873 <br />2g. ORGANIZATIONAL ID #, if any <br />MIDDLE NAME <br />Aso <br />USA <br />SUFFIX <br />USA <br />SUFFIX <br />041?F4 <br />3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />— 304 W 3rd St I Grand Island I NE 68801 <br />4. This FINANCING STATEMENT covers the following collateral: <br />All Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating <br />to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including <br />insurance, general intangibles and accounts proceeds) <br />8 This FINANCING STATEMENT is to be filed [for record) (or recorded) in the REAL 7 Check to REQUEST SEARCH REPORTS) on Debtors) All Debtors Debtor 1 Debtor 2 CORDS JADDITION S. OPTIONAL FILER REFERENCE DATA <br />6694941127 <br />Harland Financial Solutions <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 87204 <br />0 <br />a <br />L <br />6; <br />I <br />
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