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<br />.. <br /> <br />~ <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS Ifront and baok) CARE FULL Y <br />9. NAME OF FIRST DEBTOR (1a or 1 b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR <br /> 9b. INDIVIDUAL'S LAST NAME rlRST NAME IMIDDLE NAME,SUFFIX 200511265 <br /> HAPPOLD NICK <br />10. MISCELLANEOUS: <br /> -_. .....- ..-...- --- <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME" insert only = name (lla 0' llb). do notabbreviale or combine names <br /> <br /> 110. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE 1POSTAL CODE COUNTRY <br />11 d. SEE INSTRUCTIONS I fDD'L INFO RE 111e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION llg. ORGANIZATIONAL 10 #, ,f any <br /> ORGANIZATION I n NONE <br /> DEBTOR I I <br />12. 1 ADDITIONAL SECURED PARTY'S Q! r 1 ASSIGNOR SIP'S NAME. insert only = name (12a or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR FIRST NAME MIDDLE NAME SUFFIX <br /> 12b. INDIVIDUAL'S LAST NAME <br />120. MAILING ADDRESS CITY STATE rOSTALCODE COUNTRY <br />13. This FINANCING STATEMENT covers D limber to be cuI or 0 as-extracted 16. Additional collaleral description: <br /> collateral, or is filed a. a iii fixture filing. <br />14. Description of real estate; <br />NE 1/4 SECI'ION 16 . 9 . 9 <br />HALL COUNTY, NEBRASKA <br />15. Name and addre!i5 of a RECORD OWNER of above-de5icribed real estate <br /> (if Debtor does hot have a record interest): <br />NICK AND TRACY HAPPOLD <br /> 17. Check Q!1]y if applicable and check QD])i one box. <br /> Debtor is a n Trust or n Trustee acting with respet;t to property held in trust or n DeGedl!;!lht's Estate <br /> 18. Check Q!1]y if applicable and check 2Ilh: one box. <br /> D Debtor is a TRANSMITTING UTILITY <br /> D Filed in conntlction with a Manufactured-Home Transaction - effective 30 years <br />HALL COUNTY, NE LOAN # 1706 n Filed In connection with a Public-Finance Ttan5action - effective 30 years <br /> <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COpy - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br />