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<br />1 <br /> <br />.. <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFUllY <br /> <br />9. NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT <br />a. 0 GANIZA TION'S NAME <br /> <br />OR <br /> <br />9b. IN IVIDUAL'S LAST NAME <br />N iemoth <br />10, MISCEllANEOUS: <br /> <br />FIRST NAME <br /> <br />Greg <br /> <br />200602174 <br /> <br /> <br />11. ADDITIONAL <br /> <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />'S EXACT FULL lEGAL NAME - insert only !!!l!!. name (11 a or l1b) . do not abbreviate or combine names <br /> <br />11a, ORGANIZATION'S NAME <br /> <br />OR <br /> <br />11b, INDIVIDUAL'S LAST NAME <br /> <br />11 c. MAILING ADDRESS <br /> <br />11d. TAX ID #: SSN OR EIN IADD'LINFO RE 111e. TYPE OF ORGANIZATION <br />ORGANIZA TION I <br />DEBTOR I <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />CITY <br /> <br />STATE rOSTAL CODE <br /> <br /> <br />11g, ORGANIZATIONAlID #, if anv <br /> <br />111. JURISDICTION OF ORGANIZATION <br /> <br />12. J ADDITIONAL SECURED PARTY'S or n ASSIGNOR SIP'S NAME. insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br /> <br />I <br /> <br />I <br /> <br />OR <br /> <br />12b. INDIVIDUAL'S LAST NAME <br /> <br />12c. MAILING ADDRESS <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />CITY <br /> <br />STATE rOSTAL CODE <br /> <br />13. This FINANCING STATEMENT covars 0 timber to be cut or 0 as-extrected 16. Additional collateral descrip1ion: <br />collateral, or is filed as a IXI fixture filing. <br />14. Descrip1ion of real estate: <br />The goods are or are to become fixtures on: Parcell: <br />The Northwest Quarter (NWl/4) of Section Twenty-Four <br />(24), Township Twelve (12) North, Range Nine (9) West <br />of the 6th P.M., Hall County, Nebraska. except Lot One <br />(1). Niemoth Subdivision, Hall County, Nebraska. <br /> <br />Parcel 2: Lot One (1). Niemoth Subdivision. Hall <br />County. Nebraska.. <br /> <br />15. Name and address of a RECORD OWNER of ebove-describedraal estete <br />lif Debtor does not have a record interest): <br /> <br />SUFFIX <br /> <br />COUNTRV <br /> <br />o NONE <br /> <br />SUFFIX <br /> <br />COUNTRV <br /> <br />17. Check 2!!!r if applicable end check 2!!!r one box. <br /> <br /> <br />Debtor is a 0 Trust or 0 Trustee acting with respect to property held In trust or D Decedent's Estate <br /> <br /> <br />18, Check 2!!!r if applicable and check 2!!!r one box. <br /> <br />o Debtor is a TRANSMITTING UTILITY <br /> <br /> <br />o Filed in connection with a Manufactured-Home Transaction n effective 30 years <br /> <br /> <br />o Filed in connection with a Public-Finance Transac1ion n effec1ive 30 vears <br /> <br />SEARCH REQUEST COpy n NATIONAL UCC FINANCING STATEMENT ADDENDUM IFORM UCC1AdIIREV. 07/29/981 <br /> <br />B~nkBr:!l Systems, Inc" St. CIQud, MN t=orm UCC..1ADO-lAZ 5/30/2001 <br />