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200512299
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200512299
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Last modified
12/16/2005 3:27:47 PM
Creation date
12/16/2005 3:27:47 PM
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DEEDS
Inst Number
200512299
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<br />" <br /> <br />"'-.. <br /> <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 200512299 <br />OR <br /> 9b. INDIVIDUAL'S LAST NAME I FIRST NAME IADDLE NAME,SUFFIX <br /> NIEMOTH GREGORY <br />10, MISCELLANEOUS <br />6966626-41-1 <br />514060 IFARMCRD <br />267 <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 Q!lg name (11 a or 11 b) - do not abbreviate or combine names <br /> <br />~ <br />i <br />" <br /> <br /> l1a, ORGANIZATION'S NAME <br />DR <br /> 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />lld. SEE INSTRUCTION fo:D'L INFO RE r le. TYPE OF ORGANIZATION 11/, JURISDICTION OF ORGANIZATION llg, ORGANIZATIONAL ID #, if any <br /> RGANIZATION o NONE <br /> DEBTOR <br /> <br />12. 0 ADDITIONAL SECURED PARTY'S QL 0 ASSIGNOR SIP's NAME - insert only one name (12a or 12b) <br /> <br /> 12a, ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S LAST NAME MIDDLE NAME SUFFIX <br /> FIRST NAME <br />12c, AILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers 0 timber to be cut or 0 as-extracted 16. Additional collateral description: <br /> collateral or is filed as a ~ fixture filing. <br />14. Description of real estate; <br />Description: NE 1/4 SEC 22 TWP 12N RG 9W OF HALL <br />COUNTY NEBRASKA. <br />15, Name and address of e RECORD OWNER of above-described real estate <br /> (if Debtor does not have a record interest): <br />GARY FRANCE & ROBERT M BERTSCH JR ANCILLARY <br />TRUSTEES 17, Check Q!lli if applicable and check Q!lli one box. <br /> Debtor is aD Trust or 0 Trustee acting with respect to property held in trust or 0 Decedent's Estate <br /> 18, Check Q!lli if applicable and check m one box, <br /> o Debtor is a TRANSMITTING UTILITY <br /> o Filed in connection with a Manufactured-Home Transaction -- 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 />FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br /> <br />Prepared by UCG-Dlrect Services, Ino" P,O. Box 29071 <br />Glendale, CA 91209-9071 Tel (600) 331-3282 <br />
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