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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. OR.GANIZATION'S NAM~ <br /> <br />OR <br />9b. INDIVIDUAL'S LAST NAME <br />Arriaza <br /> <br />IFIRST NAME <br />.1 Anselma <br /> <br />I MIDDLE NAME,SUFFIX <br /> <br />200600363 <br /> <br />10. MISCELLANEOUS <br />7007610-40-1 <br /> <br />517247 ICITIZENS8 <br /> <br />;'1 <br /> <br />!; ,,7~ <br /> <br />Arriaza <br /> <br />326-05-0221 <br /> <br />File with: Hall, NE <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONL Y <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 /> 11b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 4';1 <br />11 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11d. SEE INSTRUCTION ~:D'L INFO RE r 1e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL 10 #. if any <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 FIRST NAME MIDDLE NAME SUFFIX <br /> 12b. INDIVIDUAL'S LAST NAME <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 f,hng. <br />14. Description of real eslate: <br />Description: H.G. CLARK ADD S 64 FEET, LOT 5, BLOCK <br />19 <br />15. Name and address of a RECORD OWNER of above.deocribed real estate <br /> (if Debtor does not have a record interest): <br /> 17. Check QO)y if applicable and check QO)y one box. <br /> Debtor is aOnust or o Trustee acting with respect to property held In trust or D Decedent's Estate <br /> 18. Check QO)y if applicable and check QO)y one box. <br /> D Debtor is a TRANSMITTING UTILITY <br /> D Filed in connection with a Manufactured-Home Transaction -- effective 30 years <br /> o 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 />FILING OFFICE COPY" NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br /> <br />Prepared by UCC-Dlrect Services, Inc" P.O. Box 29071 <br />Glendale. CA 91209-9071 Tel (800) 331-3282 <br />