Laserfiche WebLink
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, INDIVIDUAL'S LAST NAME FIRST NAME ]MIDDLE <br />HARGENS RONALD G. <br />10. MISCELLANEOUS: <br />i � 1 <br />200502918 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- insert only pnt<, name (1 la or 11 b) - do not abbreviate or combine names <br />11 la. ORGANIZATION'S NAME <br />OR <br />11b. INDIVIbUAI'5 LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c, MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OFORGANIZATION 1117, ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY S p.[ ASSIGNOR S/P S <br />NAME - insert only ❑f1.e narne (12a or 1'Lb) <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 n timber to be cut or as• extracted <br />16. Additional collateral description: <br />collateral, or is filed as a ®fixture filing. <br />14, Description of real estate. <br />NE 1/4 SEC. 19 T -11N R-1 2W HALL <br />COUNTY, NE <br />15. Narne and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />RONALD HARGENS <br />17. Check ppty if applicable and check drily one box. <br />Debtor is a I Trust o rustee acting with respect to property held in trust o Decedent's <br />Estate <br />18. Check .QtUy if applicable and check <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 UCC1Ad) (REV. 07/29/98) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />