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UCC FINANCING STATEMENT ADDENDUM 9. NAME OF FIRST DEBTOR (1 a or ib) ON RELATED FINANCING STATEMENT 9a- ORGANIZATION'S NAME OR THOMAS E. FAGAN 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIC FAGAN THOMAS E. 10. MISCELLANEOUS: f. THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only ona name !11 a or 11 bl - do not abhraviate. or romhinn namfm ;FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122102) 11 a. ORGANIZATION'S NAME OR 11b.INDIVIOUAL'SIASTNAME FIRST NAME MIDDLE NAME SUFFIX 11 c. MAILING ADDRESS CfTY STATE P COUNTRY 11d. SEEINSTRUCTIONS ADUL INFO RE 1 118 TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #;. if any ORGANIZATION DEBTOR I I NONE 12, ADDITIONALSECURED PARTY'S g HASSIGNPR S /P'S NAME - insert onl one name 12aor12b) 12a, ORGANIZATION'S NAME OR 126 INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE P �. COUNTRY 13. This FINANCING STATEMENT covers timber to be out or as- extracted 16. Additional collateral description_ collateral, or is filed as a ® fixture filing. 14. Description of real estate' SW 1/4 SEC 26 T 12N R 11 W, HALL COUNTY, NE 15. Name and address of a RECORD. OWNER ofabove• described real estate (if Debtor does not have a record interest): ROBERT E. IRVINE 17. Check ody if applicable and check 9tlly one box- Debtor it, a Trust or rl Trustee acting with te"ct'to property hold in trust or Decedent's Estate 16: Check Ct]& if applicable and check ryl{y.one box Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured -Home Transaction — effective 30 years Filed in connection with a Public- Finance Transaction — effective 30 years ;FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122102)