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<br />'I... <br /> <br />.. <br /> <br /> FINANCING STATEMENT ADDENDUM <br /> FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br /> 9, NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANiZATION'S NAME <br /> OR INDOLE NAME,SUFFIX 200511512 <br /> 9b. INDIVIDUAL'S LAST NAME I FIRST NAME <br /> BRANDT SEAN <br /> 10, MISCELLANEOUS - <br />; <br /> 6926825-40-1 <br />15106561PRIMEACCEPT <br />. <br /> 620042507 <br /> File with: Hall County Register of Deeds, NE <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only Qllil name (11 a or 11 b) - do not abbreviate or combine names <br /> <br /> lla, ORGANIZATION'S NAME <br />OR <br /> llb. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />llc. MAILING ADDRESS CITY STATE I POSTAL COOE COUNTRY <br />lld. SEE INSTRUCTION fo~D'l INFO RE re, TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION llg, ORGANIZATIONAL 10 #, if any <br /> RGANIZATION o NONE <br /> DEBTOR <br /> <br />12. 0 ADDITIONAL SECURED PARTY'S or 0 ASSIGNOR SIP's NAME - insert only one name (12a or 12b) <br /> <br /> - ~ <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. 'MILlNG ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13, This FINANCING STATEMENT coverS 0 timber to be cut or 0 as-<lxtracted 16. Additional collateral description: <br /> collateral or is filed a. a [2S] fixture filing, <br />14, De.cription of real e.tate: <br />Description: LE HEIGHTS FOURTH SUB L T 67 APN <br />400158655 <br />15, Name and addre.. of a RECORD OWNER of above-described real e.tate <br /> (if Debtor doe. not have a record interest): <br /> 17, Check Q!!I.): if epplicable and check Q!!I.): one box. <br /> Debtor is aDTru.t or DTru.tee acting with respect to property held in trust Or 0 Decedent'. Estale <br /> 18. Check Q!!I.): if applicable and check Q!!I.): one box, <br /> o Debtor is a TRANSMITTING UTILITY <br /> D Filed in connection with a Manufactured-Home Tran.action - effective 30 years <br /> n Filed in connection with a Public-Finance Transaction - effective 30 years <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />~ <br /> <br />FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV, D5/22/02) <br /> <br />Prepared by UCC-Dlrect Services, Inc" P.O. Box 29071 <br />Glendala, CA 91209-9071 Tal (800) 331-3282 <br /> <br />- <br />