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200313309
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Last modified
10/16/2011 7:32:10 AM
Creation date
10/28/2005 3:46:25 PM
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DEEDS
Inst Number
200313309
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR Na or 1b1 ON RELATED FINANCING STA <br />9a. ORGANIZATION'S NAME <br />OR I Chief Industries, Inc. <br />10. MISCELLAN <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME — insert <br />11a. ORGANIZATION'S NAME <br />200313309 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />name (11 a or 11 b) — do not abbreviate or combine names <br />vrc <br />11b. 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. TAX ID# SSNOREIN <br />ADOL INFO RE <br />1 l TYPE CFORG*NPATICN <br />11f. JURISDICTION OF ORGANIZATION <br />11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />1 <br />DEBTOR <br />I <br />I <br />E NONE <br />12. <br />[—] ADDITIONAL SECURED PARTY'S or ❑ ASSIGNORS/P's NAME —insert only one name (12a 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 />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers ❑ timber to be o a a ❑ - extracted <br />16. Additional collateral description: <br />collateral, or is filed as a FX1 fixture filing. <br />14. Description of real estate: <br />See Attached Exhibit A. <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): N/A <br />Virgil R. Eihusen <br />17. Check only if applicable and check only one box. <br />717 Stagecoach Road <br />Debtor is a El Trust or E Trustee acting with respect to property held in trust or Decedent's Estate <br />Grand Island, Nebraska 68801 <br />18. Check only if applicable and check only 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 — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />
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