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UCC 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 />HEARTLAND PIZZA III, INC <br />OR 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE <br />11 _ ADDITIONAL DEBTOR'S FXACT FIJI I I F(.AI NAMF <br />200309457 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />Harland Financial Solutions <br />SECURED PARTY COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98)400 S.W. 6th Avenue, Portland, Oregon 97204 <br />1L <br />i <br />I <br />11 a. ORGANIZATION'S NAME <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />I POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 111e. TYPE OF ORGANIZATION <br />11 f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />LJADDITIONAL SECURED PARTY'S or ASSIGNOR S /P'S NAME - insertonlyonename(12aor12b) <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 />IPOSTALCODE <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 IN fixture filing. <br />14. Description of real estate: <br />LOT 7, BLOCK 2, SPALDING & GREGG'S <br />ADDITION TO THE CITY OF GRAND ISLAND, <br />HALL COUNTY, NEBRASKA <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 a Trust or Trustee acting with respect to property held in trust or Decedent's <br />Estate <br />18. Check only if applicable and checkoff 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 for 30 years <br />Harland Financial Solutions <br />SECURED PARTY COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98)400 S.W. 6th Avenue, Portland, Oregon 97204 <br />1L <br />i <br />I <br />