200314980 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME HINRIKUS JAMES DANIEL 10. MISCELLANEOUS: 200314980 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only 2= name (11 a or 11 b) - do not abbreviate or combine names 111.. ORGANIZATION'S NAME OR 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11 c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11d. SEEINSTRUCTIONS ADD'L INFO RE 1 1le. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR I I NONE 12.1 1 ADDITIONAL SECURED PARTYS 2E U ASSIGNOR S /P'S NAME -insert only= name (12aor12b) 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY 13. This FINANCING STATEMENT covers timber to be cut or as- extracted 16. Additional collateral description: collateral, or is filed as a Ej fixture filing. 14. Description of real estate: SW1 /4 36 -9 -11 - HALL COUNTY, NE 15. Name and address of a RECORD OWNER of above - described real estate (if Debtor does not have a record interest): 17. Check 20(y if applicable and check 201y one box. Debtor is a Trust or Trustee acting with respect to property held in trust or Decedents Estate 18. Check 2oly if applicable and check Qtly one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured -Home Transaction — effective 30 years Filed in connection with a Public- Finance Transaction — effective 30 years FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02)