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- t <br />e� <br />UCC FINANCING STATEMENTADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (la or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9V. INDIVIDUAL'S LAST NAME TFIRST AM E MIC LAYHER NNETH <br />10. MISCELLANEOUS: <br />LE <br />200316025 <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />FILING OFFICE CQPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />-�� -� ��y y� „drne t i is or 11 o) - do not abbreviate or combine names - - -- <br />11a.ORGANIZATION'S NAME <br />OR <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME MIDDLE NAME SUFFIX <br />711 <br />MAILING ADDRESS <br />CITY <br />STATE POSTAL CODE COUNTRY <br />1 td. TAX ID #: SSN OR EIN ADD'L INFO RE 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />IDEBTOR <br />12. <br />NONE <br />ADDITIONAL SECURED PARTY'S or ASSIGNOR S /P`S NAME insert <br />- only Qne name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />120. 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 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 />NE 1/4 SEC. 7 T -10 R -11 <br />HALL COUNTY, NE <br />5. Name and address of a RECORD OWNER of above - described real estate <br />(if Debtor does not have a record interest): <br />KENNETH`L. & HARLAND L. LAYHER <br />17. Check n.nly if applicable and check only one box. <br />Debtor is a Trust o rustee acting with respect to property held in trust o Decedent's Estate <br />18. Check .g.rily 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 aPublic- Finance Transaction — effectiv, zn vo�.�• <br />FILING OFFICE CQPY— NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />FORM SHOULD BE TYPEWRITTEN OR COMPUTER GENERATED <br />