Laserfiche WebLink
200505938 <br />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 />9b. INDIVIDUAL'S LAST NAME FIRST NAME <br />DONOVAN TIMOTHY <br />10. MISCELLANEOUS: <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only= name <br />11 a. OR(3ANIZATION'S NAME <br />A <br />ITHE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />.11 1 b) - do not abbreviate or combine names , <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIR57 NAME <br />MIDDLE NAME <br />SUFFIX <br />DONOVAN <br />COLLEEN <br />M <br />11 c. MAILING ADDRESS <br />CI7Y <br />STATE <br />POSTAL CODE <br />COUNTRY <br />3112 KENNEDY CIRCLE <br />GRAND ISLAND <br />NE <br />68803 <br />USA <br />11d, §EgINSTRUCTIONS <br />ESTOR D'L INFO RE 11 e. TYPE OF ORGANIZATION <br />GANIZATION <br />11f. JURISDICTION OF ORGANIZATION <br />11g, ORGANIZATIONAL ID #. if any <br />I I <br />I <br />NONE <br />12. <br />1 ADDITIONAL SECURED PARTY IOR S /P'S <br />NAME - insert only 2m name It 2a 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 />P <br />COUNTRY <br />13. This FINANCING STATEMENT covers D timber to be cut or El as- extracted <br />16. Additional collateral description' <br />collateral, or is filed as a 0 fixture filing. <br />14. Description of real estate: <br />LOT ONE (1), BACHMAN AND LESTER SECOND <br />SUBDIVISION, AN ADDITION TO THE CITY OF <br />GRAND ISLAND, HALL COUNTY, NEBRASKA. <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 =IY if applicable and check gtily one box. <br />Debtor is a F1 Trust or n Trustee acting with respect to property held in trust or Decedent's Estate <br />18. Check yply if applicable and check g* <br />one box. <br />❑ Debtor is a TRANSMITTING UTILITY <br />❑ Filed in connection with a Manufactured <br />-Home Transaction — effective 30 years <br />Fl ad in connection with a Public- Finance Transaction — effective 30 years <br />FILING OFFICE COPY --- UGC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />