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<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 /> <br />200512635 <br /> <br />IFIRST NAME <br />RUFINA <br /> <br />I CDDLE NAME,SUFFIX <br /> <br />.10 MISCELLANEOUS <br />6981791-40-1 <br /> <br />510656 IPRIMEACCEPT <br /> <br />610050142 <br /> <br />File with: Hall, NE <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11 b) - do not abbreviate or combine names <br /> <br /> 11a. ORGANIZATION'S NAME <br />OR <br /> l1b. 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 111e. TYPE OF ORGANIZATION llf. JURISDICTION OF ORGANIZATION llg. ORGANIZATIONAL ID #, if any <br /> RGANIZATION D NONE <br /> DEBTOR <br /> <br />12. D 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 <br />12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers D timber to be cut or D as-extracted 16. Additional collateral description: <br />collateral or is filed as a [8] fixture filing. <br />14. Description ofreal estate: <br />Description: SOUTH GRAND ISLAND L T 8 BLK 8 APN <br />400093995 <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest): <br /> 17. Check Qlliy if applicable and check Qlliy one box. <br /> Oebtor is aD Trust or DTrustee acting with respect to property held in trust or D Decedent's Estate <br /> 18. Check Qlliy if applicable and check Q!!!y one box. <br /> D Deblor IS a TRANSMITTING UTILITY <br /> D 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 />FiliNG OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM .(FORMUCC1Ad) (REV. 05/22/02) <br /> <br />Prepared by UCG-D"eCI Services. Inc.. P.O. Box 29071 <br />Glendale. CA 91209.9071 Tel (800) 331<1282 <br />