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<br />,- <br />.....-. <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS Ifront and back) CAREFUllY <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 IFIRST NAME ,MIDDLE NAME,SUFFIX 200511134 <br /> HADENFELDT JAMIE ALLEN <br />10. MISCELLANEOUS: <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - insert only = name (11a or 11b) - do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br /> <br />OR 11 b. INDIVIDUAL'S lAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />11c. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />11d. SEE INSTRUCTIONS <br /> <br /> <br />11 e. TYPE OF ORGANIZATION <br /> <br />111. JURISDICTION OF ORGANIZATION <br /> <br />11g. ORGANIZATIONAL ID#, ifany <br /> <br />NONE <br /> <br />12. <br /> <br />ASSIGNOR SIP'S NAME-insertonIYQWlname(12aor12b) <br /> <br />OR 12b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />12c. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />13. This FINANCING STATEMENT covers timber to be cut or <br />collateral, or is filed as a 0 fixture filing. <br />14. Description of real estate: <br /> <br />as-extracted 16. Additional collateral description: <br /> <br />SI/2NWI/432-12.12 <br /> <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Oebtor does not have a record interest): <br /> <br />17. Check llIili hpplicable and check llIili one box. <br /> <br />Debtor is a <br /> <br /> <br />Trustee acting with respect to property held in trust or Decedenfs Estate <br /> <br />18. Check ~ W applicable and check llIili 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 - effect;"" 30 years <br /> <br />FILING OFFICE COpy - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br />