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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 <br />9b. INDIVIL FIRST NAME Mil STA& <br />WILHELMI LARRY W <br />10. MISCELLANEOUS <br />(lit <br />l' <br />200211848 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- insert only Qne name (11a or 11b) - do not abbreviate or combine <br />11 a. ORGANIZATION'S NAME <br />OR <br />rb—INDIVIDUAL'S LAST 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 I 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I I <br />I <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S a F1 ASSIGNOR S /P'S <br />NAME - insert only me name (128 or 12b) <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 El fixture filing. <br />14. Description of real estate: <br />NE 1/4 <br />SECTION 22 <br />TOWNSHIP 12N <br />RANGE 11 W <br />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 />LARRY WILHELMI <br />17. Check Qply if applicable and check Qp)y one box. <br />Debtor is a n Trust or n Trustee acting with respect to property held in trust or Decedent's Estate <br />18. Check QNy if applicable and check Qnly one box. <br />Debtoris 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 />C7 <br />S <br />O <br />