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200201439
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200201439
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Last modified
10/14/2011 4:48:46 PM
Creation date
10/21/2005 9:23:01 PM
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DEEDS
Inst Number
200201439
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UCC FINANCING STATEMENTADDENDUM <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 9b. INDIVIDU A AM&' FIRST NAME <br />RILEY JAMES <br />10. MISCELLANEOUS: <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- insert only = name (11a or 1 <br />111 a. ORGANIZATION'S NAME <br />200201439 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />r combine names <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC 1Ad) (REV. 07/29/98) <br />R <br />=ST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 11 le. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S 9c ASSIGNOR S /P'S <br />NAME - insert only ppg name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />IPOSTALCODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers limber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a e fixture filing. <br />14. Description of real estate: <br />NE 1/4 SEC 30, T 1 IN, R 12W HALL COUNTY, NE <br />15. Name and address of a RECORD OWNER of above- described real estate <br />(if Debtor does not have a record interest): <br />LD AND JACEEL DUBBS <br />17. Check yp(y if applicable and check nnLX one box. <br />Debtor is a n Trust or Trustee acting with respect to property held in trust or Decedent's <br />Estate <br />18. Check m(y if applicable and check 211X 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 UCC 1Ad) (REV. 07/29/98) <br />R <br />
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