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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 />OR I 'ADDLE NAME,SUFFIX <br /> 9b. INDIVIDUAL'S LAST NAME IFIRST NAME 200600094 <br /> JOHNSON SCOTT <br /> ." .'1 '-..' <br />10. MISCELLANEOUS i I: i <br />6994802-40-1 <br />5106561PRIMEACCEPT <br />620034833 <br />File with: Hall, NE <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only QM. name (11 a or 11 b) - do not abbreviate or combine names <br /> <br /> 11 a. ORGANIZATION'S NAME <br />OR <br /> 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE TpOSTAL CODE COUNTRY <br />lld. SEE INSTRUCTION ~:D'L INFO RE r le. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION llg. ORGANIZATIONAL ID#, ifany <br /> RGANIZATION D NONE <br /> DEBTOR <br /> <br />12. D ADDITIONAL SECURED PARTY'S or D 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. 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 ~ fixture filing. <br />14. Descnption of real estate: <br />Description: VANTINE'S SUB S 1/2 LT 1 <br />15. Name and address of a RECORD OWNER of above-descnbed real estate <br /> (if Debtor does not have a record interest); <br /> 17. Check Q!l]y if applicable and check 2!:!!!L one box. <br /> Debtor is aD Trust or DTrustee acting with respact to proparty hald in trust or D Decedent's Estate <br /> 18. Check Q!l]y if applicable and check Q!l]y one box. <br /> o Debtor is a TRANSMITTING UTILITY <br /> o Filed in connection with a Manufactured-Home Transaction -- effective 30 years <br /> I 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 /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br /> <br />Prepared by UCC-Olrect Services, Inc., P.O. Box 29071 <br />Glendale, CA 91209.9071 Tel (800) 331.3282 <br />