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200201737 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR Na or 1 b) ON RELATED FINANCING STATEMENT <br />OR <br />' THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />oniv one name (11 a or 11 b) - do not abbreviate or combine names <br />13. This FINANCING STATEMENT covers 0 timber to be cut or 116. Additional collateral description: <br />0 as- extracted collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record Interest): <br />MIDDLE NAME I SUFFIX <br />1 t. 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 <br />= Decedent's Estate <br />18. Check only if applicable and check only one box. <br />0 Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction - - effective 30 years <br />0 Filed in connection with a Public- Finance Transaction - - effective 30 years <br />FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07129/98) <br />1M -0562 (0108).02 VMP MORTGAGE FORMS (800)521-7291 Bankers Systems, Inc., St. Cloud, MN Form UCC -1 ADD -LAZ 5/3012001 <br />I <br />1 1 a. QKUA N ILA I IUN' b NAM t <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />M IDDLE NAME <br />SUFFIX <br />Krue er <br />-Claudia <br />D <br />11c.. MAILING ADDRESS <br />CITY <br />STATE <br />I POSTAL CODE <br />COUNTRY <br />11 d. TAX ID #: SSN OR EIN <br />ADD'L INFO RE 11 e. TYPE OF ORGANIZATION <br />11 f. JURISDICTION OF ORGANIZATION <br />11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />® NONE <br />12. = ADDITIONAL SECURED PARTY'S gr =ASSIGNORS/PS NAM E -insert only gpg name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />13. This FINANCING STATEMENT covers 0 timber to be cut or 116. Additional collateral description: <br />0 as- extracted collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record Interest): <br />MIDDLE NAME I SUFFIX <br />1 t. 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 <br />= Decedent's Estate <br />18. Check only if applicable and check only one box. <br />0 Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction - - effective 30 years <br />0 Filed in connection with a Public- Finance Transaction - - effective 30 years <br />FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07129/98) <br />1M -0562 (0108).02 VMP MORTGAGE FORMS (800)521-7291 Bankers Systems, Inc., St. Cloud, MN Form UCC -1 ADD -LAZ 5/3012001 <br />I <br />