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M c ry z� y .._> C/1 i Its\ 2b. INDIVIDUAL'S LAST NAME FIRST NAME 4NCING STATEMENT SUFFIX RUCTIONS (front and back) CAREFULLY � 'HONE OF CONTACT AT FILER [optional] Cfl 2c. MAILING ADDRESS (NOWLEDGMENT TO: (Name and Address) W COUNTRY 2d. TAX ID #: SSN OR EIN RvT IEM✓ = age Bank 1-1 GR+T`A6E S AIV K 507.66.0872 12th Street t I a; I2,tr. S- 3. SECURED 3ox329 Po Cis 329 A NE 68818 Alkll-- N 6 6 F?'P M c ry z� y .._> C/1 i Its\ THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1, UCC I Url J tAAI. I rULL LrUAL NAIVIr - Insert only one aeator name I la or In) - ao not abmeviate or comDlne names 1a. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX SULLIVAN R MARK 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 905 HWY 2 DONIPHAN NE 68832 td. TAX ID #: SSN OR EIN A le. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any ORGANIZATION 506.642862 DEBTOR ❑ NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only ane debtor name 12a or 2b) - do not abbreviate or combine names Za. ORGANIZATION'S NAME 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX n C) L 2c. MAILING ADDRESS CITY =a COUNTRY 2d. TAX ID #: SSN OR EIN INFO RE 12.. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any [ZDD'L ORGANIZATION 507.66.0872 DEBTOR ❑ NONE 3. SECURED 7 3a. ORGANIZATION'S NAME OR Heritage Bank 3b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE COUNTRY 1101 12th Street Aurora NE 1POSTALCODE 68818 1A r\) CD U r.:' rTl ~" r_... _y CA CL C/ h GF C C...J crl W rt 200509393 Q THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1, UCC I Url J tAAI. I rULL LrUAL NAIVIr - Insert only one aeator name I la or In) - ao not abmeviate or comDlne names 1a. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX SULLIVAN R MARK 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 905 HWY 2 DONIPHAN NE 68832 td. TAX ID #: SSN OR EIN A le. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any ORGANIZATION 506.642862 DEBTOR ❑ NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only ane debtor name 12a or 2b) - do not abbreviate or combine names Za. ORGANIZATION'S NAME 4. This FINANCING STATEMENT covers the following collateral: 5. ALTERNATIVE DESIGNATION [if applicable]: ❑ LESSEFILESSOR ❑ CONSIGNEE/CONSIGNOR ❑ BAILEE/BAILOR ❑ SELLERIBUYER ❑ AG. LIEN ❑ NON -UCC FILING 6. This FINANCING STATEMENT is to be filed [for record) (or recorded) in the REAL 7. Check to REQUEST SEARCH REPORT �c SI on Debtor(sl ❑ All Debtors ❑ El 1 Debtor 2 ® ESTATE RECORDS. Attach Addendum [If applicable] [ADDITIONAL FEE] tionaq S. OPTIONAL FILER REFERENCE DATA Bankers Systems, Inc., St. Cloud, MN Farm UCC -I -LAZ 5/30/2001 FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07129198) 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX SULLIVAN KAREN L 2c. MAILING ADDRESS CITY STATE 1POSTALCODE COUNTRY 2d. TAX ID #: SSN OR EIN INFO RE 12.. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any [ZDD'L ORGANIZATION 507.66.0872 DEBTOR ❑ NONE 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) - insert only ana secured party name (3a or 3b) 3a. ORGANIZATION'S NAME OR Heritage Bank 3b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE COUNTRY 1101 12th Street Aurora NE 1POSTALCODE 68818 4. This FINANCING STATEMENT covers the following collateral: 5. ALTERNATIVE DESIGNATION [if applicable]: ❑ LESSEFILESSOR ❑ CONSIGNEE/CONSIGNOR ❑ BAILEE/BAILOR ❑ SELLERIBUYER ❑ AG. LIEN ❑ NON -UCC FILING 6. This FINANCING STATEMENT is to be filed [for record) (or recorded) in the REAL 7. Check to REQUEST SEARCH REPORT �c SI on Debtor(sl ❑ All Debtors ❑ El 1 Debtor 2 ® ESTATE RECORDS. Attach Addendum [If applicable] [ADDITIONAL FEE] tionaq S. OPTIONAL FILER REFERENCE DATA Bankers Systems, Inc., St. Cloud, MN Farm UCC -I -LAZ 5/30/2001 FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07129198)