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200313784
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Last modified
10/16/2011 7:59:56 AM
Creation date
10/28/2005 3:55:57 PM
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DEEDS
Inst Number
200313784
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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 gb. INDIVIDUAL'S LAST NAME <br />WOJTALEWICZ <br />10. MISCELLANEOUS: <br />FIRST NAME <br />THOMAS <br />MIDDLE <br />C <br />200313784 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME - insert only one debtor name (11a or 11b) -do not abbreviate or combine names <br />Harland Financial Solutions <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />11 a. ORGANIZATION'S NAME <br />OR <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />I POSTAL CODE <br />COUNTRY <br />11d. TAX ID #: SSN OR EIN <br />A 111e. TYPE OF ORGANIZATION 11 f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR NONE <br />12. <br />ADDITIONAL SECURED PARTY'S or ASSIGNOR S /P'S NAME - insert only one name (12aor12b) <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 11 timberto be cut or 11 as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />The NE 1/4 and the E 1/2 of the NW 1/4 of Section 22, in <br />Township 12 North, Range 10 West of the 6th P.M., Hall <br />County, Nebraska, EXCEPTING a tract of land more <br />particularly described in Waranty Deed recorded as <br />Document No. 95- 102062 and EXCEPTING a tract of land <br />more particularly described in Joint Tenancy Warranty <br />Deed recorded as Document No. 200303994 <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />17. Check only if applicable and check only one box. <br />Debtor is a FiTrust or FiTrustee acting with respect to property held in trust or Decedents Estate <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 for 30 years <br />Harland Financial Solutions <br />FILING OFFICE COPY — NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />
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