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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS front end h-1,1 CAREFULLY <br />8. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />19a. ORGANIZATION'S NAME <br />OR TA OPERATING CORPORATION <br />S LAST NAME I FIRST NAME I MIDDLE <br />10. MISCELLANEOUS' <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME- Insert onl <br />11 a. ORGANIZATION'S NAME <br />200506926 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />name (11a or 11 b) - do not abbreviate or combine names <br />FILING OFFICE COPY —UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) INFO -PRO www.infoproforms.com (800.655 -2021) <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. SEE F INSTRUCTIONS <br />ADD'L INFO RE I 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 119. ORGANIZATIONAL ID #, If any <br />ORGANIZATION <br />NONE <br />12. <br />j ADDITIONAL SECURED PARTY'S pt <br />ASSIGNOR SIP'S NAME -insert only one name (12s or 12b) <br />12a. RGANIZATION'$ 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 />POSTAL CODE <br />COUNTRY <br />13, This FINANCING STATEMENT covers timber to be out or LJ as -extracted <br />collateral, or is filed as a ® fixture filing, <br />16. Additional collateral description: <br />14. Description of real estate: <br />More commonly known as: <br />8033 W. Holling Road <br />Aida, NE 68810 <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 />Travel Centers of America <br />17. Check ML If applicable and check only one box. <br />24601 Center Ridge Road <br />Debtor is a Trust or n Trustee acting with respect to property held in trust or Decedent's <br />Estate <br />West Lake, OH 37202 <br />18. Check odl if applicable and check only one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Horne 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) INFO -PRO www.infoproforms.com (800.655 -2021) <br />