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UCC FINANCING STATEMENTADDENDUM <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />91b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX <br />POEHLER GERALD 1 200315147 <br />10. MISCELLANEOUS: <br />I THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (1 la or l lb1 - do not abbreviate or combine names <br />FILING OFFICE COPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />1la. ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />l ld. TAX ID #: SSN OR EIN <br />A 1 Ile. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12.17 <br />ADDITIONAL SECURED PARTY'S j;j JASSIGNORS/P'S <br />NAME -insert only Qua 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 />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers 1 timber to be cut or as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate. <br />NW 1/4 <br />SECTION 17 <br />TOWNSHIP 11 N <br />RANGE 12W <br />HALL COUNTY, NE <br />15. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />GERALD & PATRICIA POEHLER <br />17. Check QUU if applicable and check QLy one box. <br />Debtor is a rl Trust o ruslee acting with respect to property held in trust o <br />Decedent's Estate <br />18. Check Qply if applicable and check _ <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 />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />