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<br />," <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY 200600976 <br />9, NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9.. ORGANIZATION'S NAME <br />OR <br /> 9b, INDIVIDUAL'S lAST NAME I FIRST NAME IMIDDLE NAME,SUFFIX <br /> ESCOBAR ANA MARIA <br />10. MISCELLANEOUS, <br />12406 <br /> _n... <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONL Y <br /> <br />11, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only illl!l name (11. or11b). do nolabbrevi.te or combine names <br /> <br /> 11a. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY <br />11 d, SEE INSTRUCTIONS I fDD'L INFO RE 111 e. TYPE OF ORGANIZATION 11 f, JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL 10#, ifany <br /> ORGANIZATION I nNONE <br /> DEBTOR I I <br />12. IJl ADDITIONAL SECURED PARTY'S l1! rl ASSIGNOR SIP'S NAME. insert only = name (12. or 12b) <br /> 12.. ORGANIZATION'S NAME <br />OR CARMEL FINANCIAL CORPORATION <br /> 12b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />101 EAST CARMEL DRIVE. SUITE 200 CARMEL IN 46032-6127 <br />13. This FINANCING STATEMENT covers D timber to be cut or D as-extracted 16. Additional collateral descriptio,,, <br /> collateral, or is filed as a III fixture filing. <br />14. Description of real estate: <br />1110 E. 7TH STREET <br />GRAND ISLAND, NE 68801 <br />COUNTY: HALL <br />LEGAL DESCRIPTION: LAMBERT ADD FR 5 & <br />ALL 6 BLK4 Parcel Number - 400058243 <br />HYDRO SUPREME / RO REG <br />MODEL: 239283/509495 <br />SERIAL: N/A <br />15. N.me and address of a RECORD OWNER of above-described real estate <br /> (if Debtor dO@ls not have a record interest): <br />ANA MARIA ESCOBAR <br />1110 E. 7TH STREET 17. Check 2llll: if applicable and check 2llll: one box. <br />GRAND ISLAND, NE 68801 Debtor is a n Trust or n Trustee ading with respect to property held in trust or n Decedent's Estate <br /> 18. Check 2llll: if .pplicable and oheck 2llll: 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 />International ASSOCiation of Commercial Administrators (IACA) <br />FILING OFFICE COpy - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br />