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200314988
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200314988
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Last modified
10/16/2011 9:10:02 AM
Creation date
10/28/2005 4:21:00 PM
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DEEDS
Inst Number
200314988
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UCC FINANCING STATEMENT ADDENDUM <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE W <br />HARTMAN THOMAS LYNN <br />10. MISCELLANEOUS: <br />200314988 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only 2= name (1 la or 11 b) - do not abbreviate or combine names <br />1 11 a. ORGANIZATION'S NAME <br />UK <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 />1POSTALCODE <br />COUNTRY <br />11d. SEE INSTRUCTIONS <br />ADD'LINFORE 11e. TYPE OF ORGANIZATION <br />1 1f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #,ifany <br />ORGANIZATION <br />DEBTOR <br />I I <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S ASSIGNORS /P'S <br />NAME - insert only 2M name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />IPOSTALCODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or 0 as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a fixture filing. <br />14. Description of real estate: <br />SWI /4 4 -10 -9, EXCEPTING CERTAIN TRACTS <br />RECORDED IN WARRANTY DEED IN BOOK D, <br />PAGE 433 AND PAGE 434 <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 2& if applicable and check 2nly one box. <br />Debtor is a Trust or Trustee acting with respect to property held in trust or <br />Decedent's Estate <br />18. Check 2nly if applicable and check 2p(y 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 — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />
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