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200503022
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200503022
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Last modified
10/17/2011 4:21:01 AM
Creation date
10/28/2005 10:23:19 AM
Metadata
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DEEDS
Inst Number
200503022
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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 />OR <br />0b. INDIVIDUAL'S LAST NAME FIRST NAN <br />KLEEB KELVIN <br />10. MISCELLANEOUS- <br />11 Ar)nITlnNAI f)FRTOR :4 FXOrtT FI III I ;:(^_AI AIAR/IF ,.,... ,. <br />MIDDLE NAME, <br />200503022 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />FILING OFFICE COPY UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />N <br />1 a. dRGANIZA710N'S NAME <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />SPATE <br />POSTAL CODE <br />COUNTRY <br />11d. SEE.INSTRWQTIONS <br />ADD'L INFO RE Ile. TYPE OF ORGANIZATION <br />ORGANIZATION <br />11 f. JURISDICTION OF ORGANIZATION 11 g.. ORGANIZATIONAL ID #, if any <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S at HASSIGNOR S /P'S <br />NAME - insert only gylg name (12aor12b) <br />12a- ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />4 <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />PEW <br />COUNTRY <br />13, This FINANCING STATEMENT rovers 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 />N 1/2 OF NW 1/4 & NW 1/4 OF NE 1/4 <br />SECTION 35 <br />TOWNSHIP 1ON <br />RANGE 11W <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 interesh: <br />KELVIN E & SUSAI`$*}CLEEB <br />17. Check pift if applicable and checkgnly one box <br />Debtor is a Trust or F Trustee acting with respect to property held intrust or Decedent's <br />Estate <br />18. Check mW if applicable and check g ily one box <br />Debtorisa TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction — effective 30 years <br />Filed in connection with a Public- Finance Transaction — effective 3D years <br />FILING OFFICE COPY UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />N <br />
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