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200505929
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200505929
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Last modified
10/17/2011 8:32:12 AM
Creation date
10/28/2005 11:13:20 AM
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DEEDS
Inst Number
200505929
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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. INDIVIDUAL'S LAST NAME FIRST NAME <br />MENDEZ RAMIRO <br />10. MISCELLANEOUS: <br />200505929 <br />1 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - Insert oniv one name (11a or I lb) - do not abbreviate or combine names <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />I la. ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME <br />FIRSTNAME <br />MIDDLE NAME <br />SUFFIX <br />7 tc. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 1 110, TYPE OF ORGANIZATION <br />1 If. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'$ , ASSIGNOR SIP'S <br />NAME - Insert only g0@ name If 20 or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME 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 X fixture filing. <br />14. Description of real estate: <br />COUNTY SUB W 1/2 SW 1/4 <br />10 -11 -9 LOT 26 <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record Interest): <br />17. Check WL1 If applicable and check only one box. <br />Debtor Is a Trust or Trustee acting with respect to property held In trust or Decedent's <br />Estate <br />18. Check only If applicable and check only one box. <br />❑ Debtor Is a TRANSMITTING UTILITY <br />❑ Filed In connection with a Manufactured -Home Transaction — effective 30 years <br />Piled 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 />
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