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200506605
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200506605
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Last modified
10/17/2011 9:27:22 AM
Creation date
10/28/2005 11:26:24 AM
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DEEDS
Inst Number
200506605
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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 />96. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAN <br />SCHIMMER TYSON JAMES <br />10. MISCELLANEOUS: <br />200506605 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only 40S name (11 a or 11 b) - do not abbreviate or combine names <br />11 a. ORGANIZATION'S NAME <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />11c, MAILING ADDRESS <br />CITY <br />11d, SFr INSTRUCTIONS <br />ADD'L INFO RE I 11e, TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION <br />IDEBTOR <br />12. <br />rTADDTIONAL SECURED PARTY'S gl ASSIGNOR S /P'S <br />NAME - insertonly=name(12a or 12b) <br />OR 126. INDIVIDUAL'S t <br />12c. MAILING ADDRESS <br />13. This FINANCING STATEMENT covers U timber to be cut or U as- extracted <br />collateral, or is filed as a Ej fixture filing. <br />14. Description of real estate: <br />SEE ATTACHED LEGAL DESCRIPTION <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />FIRST NAME <br />CITY <br />16. Additional collateral description: <br />MIDDLE NAME <br />STATE POSTAL CODE <br />11 g. ORGANIZATIONAL ID #, if any <br />We] = <br />MaJtl7f, <br />SUFFIX <br />NONE <br />17. Check 2n y if applicable and check gaLy one box. <br />Debtor is a n Trust or 1 1 Trustee acting with respect to property held in trust or n Decedent's Estate <br />18. Check 201y if applicable and check pply one box. <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 — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />
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