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<br />",,".: :"I..~~'/ <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a Or 1b)DN RELATED FINANCING STATEMENT <br />9,,- ORGANIZATION'S NAME <br /> <br />OR <br />9b. INDIVIDUAl'S LAST NAME <br />STOLTENBERG <br /> <br />200511372 <br /> <br />10. MISCELLANEOUS: <br /> <br /> <br />'r <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONL Y <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAM:" inseltonlYl!llliname ('1a or11b) _ do not abb'A'liate ",combine names <br />11aoRGANlZATION'SNAME-.--"-.-----.~___.__,. <br /> <br />OR 1 1b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />11 c. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE P()ST Al CODE <br /> <br />12. <br /> <br /> <br />ASSIGNOR SIP'S NAME. inselt only on"name (12a Of 12b) <br /> <br />11d. SEEINSTRlJCTlONS <br /> <br />11 e. TYPE OF ORGANIZA TION <br /> <br />11 f. JURISDICTION OF ORGANIZATION <br /> <br />11 g. ORGANIZATIONAL ID #, if any <br /> <br />OR. 12bl',I~I.lIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />12c. MAi"l.lNG ADDRESS <br /> <br />-_....._._,.~......_...._.".. <br /> <br />.._....._-..._.,..-..__.,.._..,.~._. <br />CITY <br /> <br />-ilY A TE' <br /> <br />POSTAL'CODE- -- COLtJTRY <br /> <br />SUFFIX <br /> <br /> <br />13. This FINANCING STATEMENT covers <br />collateral,or I. filed as e /2J ti"-rure filing. <br />14. Description ot real ..tate: <br /> <br />...extracted 16, Additional conateral description: <br /> <br />W/2 SE/4 & E/2 SW/4 23-12N-11W, HALL COUNTY, NE <br /> <br />\.$ <br />15. NeiR~' and oddress 0/ . RECORD OWNER ot abovo-described real estate <br />(it Debtor does not have a record interesQ: <br /> <br />EDWARD J. STOLTENBERG <br />DEBORAH J. STOLTENBERG <br /> <br />SUFFIX <br /> <br />COUIITRY <br /> <br />NONE <br /> <br />17. Check ~ it applicable and ,cheek ~ on.. box. <br />Dabtor is a Trustee acting 'Mlh r""pectto property hard in trust Of Decedent'. Estate <br />18. Check~ ihpplicable and check QDb: one bol<. <br />Debtor Is a TRANSMITTING UtiLiTY <br />Filed in connection wilh a Manufactured.Home Transaction _ elfecllve 30 years <br />Filed in oonnection wllh a Public.finance Tran...ction ~ effective 30 years <br /> <br />FILING OFFICE COpy - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br />