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200508564
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Last modified
10/17/2011 12:04:35 PM
Creation date
10/28/2005 12:07:52 PM
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DEEDS
Inst Number
200508564
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N <br />NANCING STATEMENT AM ENDM ENT <br />VSTRUCTIONS (front and back) CAREFULLY <br />Crl l PHONE OF CONTACT AT FILER [optional] <br />CD <br />-P Kath X 08- 381 -7400 <br />} ame an rasa <br />e `• nv. Acct # <br />VIII Union Bank and Trust Company <br />Po god s Iub <br />y- N 6 1c83'o2-- 516 <br />-1I <br />-iI <br />200508564 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1a. INITIAL FINANCING STATEMENT FILE# 1b. This FINANCING STATEMENT AMENDMENT is �// <br />0200112325 ❑ to be filed [for record] (or recorded) In the '* <br />REAL ESTATE RECORDS. <br />2. �4JERM INATION: Effectiveness of the Financing Statement identified above is terminated w ith respect to security interest(s) of the Secured Party authorizing this Termination Statement. <br />3. ❑CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is <br />Continued for the additional period provided by applicable law. <br />4. I I ASSIGNM ENT (full or partial): Give name of assignee In Item 7a or 7b and address of assignee in Item 7c; and also give name of assignor in item 9. <br />.•w <br />5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor Q n Secured Party of record. Check only one of these two boxes. <br />Also check 2AS of the follow Ing three boxes and provide appropriate informa Ion in items g'- anndlor 7. <br />❑CHANGE name and /or address: Give current record name in item 6a or 6b; also give new DELETE name: Give recordname ADD name: Complete item 7a or 7b, and also <br />name (if name change) In Item 7a or 7b and /or new address (if address change) in Item 7c. 11 to be deleted in Item 6a or 6b. ❑ Item 7c; also complete Items 7d -7g (If applicable). <br />6. CURRENT RECORD INFORMATION: <br />S NAME <br />OR <br />Loney <br />7. CHANGED (NEW) OR ADDED INFORMATION: <br />75. ORGANIZATION'S NAME <br />Jerry <br />L <br />OR 7b INDIVIDUAL'S LAST NAME IFIRST NAME IMIDDLE NAME I SUFFIX <br />STATE IPOSTALCODE ICOUNTRY <br />7d. TAX ID #: SSN OR EIN ADD'L INFO RE 17a. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION I—I <br />DEBTOR I I INONE <br />8. AMENDMENT (COLLATERAL CHANGE): check only one box. <br />Describe collateral ❑ deleted or ❑ added, or give entire 11 restated collateral description, or describe collateral assigned <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this Is an Amendment authorized by a Debtor <br />which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here I—I and enter name of DEBTOR authorizing this Amendment. <br />Us. UKUANILA I IUN' rvAMC <br />OR Union Bank and Trust Company <br />9b. INDIVIDUAL'S LAST NAME I FIRST NAME TIV IDDLE NAME SUFFIX <br />10. OPTIONAL FILER <br />Bankers Systems, Inc., St. Cloud, MN Form UCC -3 -LAZ 5/30/2001 <br />SECURED PARTY COPY -- NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07129/98) <br />(M-0564 (0108).02 VMP MORTGAGE FORMS - (800)521 -7291 <br />n C0 <br />o. ! <br />C:• <br />(� <br />C; <br />r'7 <br />C? <br />cam' <br />= <br />I^. <br />CZ) <br />co <br />W <br />rdq. <br />--a <br />C <br />200508564 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1a. INITIAL FINANCING STATEMENT FILE# 1b. This FINANCING STATEMENT AMENDMENT is �// <br />0200112325 ❑ to be filed [for record] (or recorded) In the '* <br />REAL ESTATE RECORDS. <br />2. �4JERM INATION: Effectiveness of the Financing Statement identified above is terminated w ith respect to security interest(s) of the Secured Party authorizing this Termination Statement. <br />3. ❑CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is <br />Continued for the additional period provided by applicable law. <br />4. I I ASSIGNM ENT (full or partial): Give name of assignee In Item 7a or 7b and address of assignee in Item 7c; and also give name of assignor in item 9. <br />.•w <br />5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor Q n Secured Party of record. Check only one of these two boxes. <br />Also check 2AS of the follow Ing three boxes and provide appropriate informa Ion in items g'- anndlor 7. <br />❑CHANGE name and /or address: Give current record name in item 6a or 6b; also give new DELETE name: Give recordname ADD name: Complete item 7a or 7b, and also <br />name (if name change) In Item 7a or 7b and /or new address (if address change) in Item 7c. 11 to be deleted in Item 6a or 6b. ❑ Item 7c; also complete Items 7d -7g (If applicable). <br />6. CURRENT RECORD INFORMATION: <br />S NAME <br />OR <br />Loney <br />7. CHANGED (NEW) OR ADDED INFORMATION: <br />75. ORGANIZATION'S NAME <br />Jerry <br />L <br />OR 7b INDIVIDUAL'S LAST NAME IFIRST NAME IMIDDLE NAME I SUFFIX <br />STATE IPOSTALCODE ICOUNTRY <br />7d. TAX ID #: SSN OR EIN ADD'L INFO RE 17a. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION I—I <br />DEBTOR I I INONE <br />8. AMENDMENT (COLLATERAL CHANGE): check only one box. <br />Describe collateral ❑ deleted or ❑ added, or give entire 11 restated collateral description, or describe collateral assigned <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this Is an Amendment authorized by a Debtor <br />which adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here I—I and enter name of DEBTOR authorizing this Amendment. <br />Us. UKUANILA I IUN' rvAMC <br />OR Union Bank and Trust Company <br />9b. INDIVIDUAL'S LAST NAME I FIRST NAME TIV IDDLE NAME SUFFIX <br />10. OPTIONAL FILER <br />Bankers Systems, Inc., St. Cloud, MN Form UCC -3 -LAZ 5/30/2001 <br />SECURED PARTY COPY -- NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07129/98) <br />(M-0564 (0108).02 VMP MORTGAGE FORMS - (800)521 -7291 <br />
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