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<br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back\CAREFULL Y <br />9, NAME OF FIRST DEBTOR (1a or1P) QN RELATED FINANCING STATEMENT 200511155 <br /> 9" ORGANIZATION'S NAME <br />OR ALLAN FARMS, INC. ,. . 'L". '- <br /> 9b, INDIVIDUAL'S LAST NAME r'RSI NAME IMIDDLE NAME,SUFFP <br />10. MSCELLA.NEOUS: <br /> THE ABOVE SPACe IS FOR FILING OFFICE USE ONLY <br /> <br />'<:j <br /> <br />t".- <br />--'(i <br /> <br />11. A.DDITI.ONAL DEBTQR'S EXACT F ULL LEGA.L NAME .In.e~onIYQJllnarne(11ac,11b) - dc nct~n;;.i"teor"<>rnbine nlll'Mie <br />11a, ORGANIZATION'S NAME <br /> <br />OR 11b,INOIVllJUAL'St:AST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />11Q. MAILING ADDRESS <br /> <br />CITY <br /> <br />Sf ATE POSTAL CODE <br /> <br />COLtilTRY <br /> <br />11d. SEE INSTRUCTIONS <br /> <br /> <br />111. JURISDICTIONDFOROAN12ATION <br /> <br />11g. ORGANIZATIONAL ID#,hoy <br /> <br />NONE <br /> <br />12, <br /> <br />narn.. (12a0l12b) <br /> <br />OR 12b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />'he. MAILING ADDRESS <br /> <br />c;lTY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />13. This FINANCING 5T A TEMENT covers limlle,b bllCut 01 <br />""lIalentl, 0' is flied .s .. ~ fllrture fill"!!, <br />14. De&criptll'" 01 real ..slate: <br /> <br />as-extracted 16. Adcjilional colateral dellCriptbn: <br /> <br />NW 1/4 SEC. 13 T-11N R-12W, HALL COUNTY, NE <br /> <br />15. Name and add'.... Cl/" RECORD OWNER 01 aboWide$crilled ,eal et;ta1Q <br />(~'D..btOl does not. have a record Interest: <br /> <br />MONICA MADSEN <br />RONALD G. HARGENS <br />MARTIN L. HARGENS <br /> <br />17; Check!:ll$ .~"pplieabl.. ahd.checkwililon"bcll'- <br />D~toris a Trust or Trustaaectlng y,l1l1rl>S~ctto property hald intrust or Decedent's E.Wle <br />1$, Cheakgtib> II applieabl"andcheckwilil on.. box. <br />pablO' Is a TRANSMIT11NGUTILlTY <br />Flied in .connacUon Wilh a Manutatiui..d.HomaTrarts..caon - attectlve30 year. <br />Flied In.connecUon Wilha.P\lblicoFinance Transaction - effective 30 years <br /> <br />FILINGOFFICE.C;OPV - UCC FINANCING STATEMENT ADDENDUM (FORMUCC1Ad) (REV;05/:!2102) <br />