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<br />UCC FINANCING STATEMENT ADDENDUM <br />F LLOW INSTRUCTIONS rant and back CAREFULLY <br />9. KlAME OF FIRsT DEBTOR (1aor1b) aN RELAfED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br /> <br />'.. <br /> <br />, <br />r~'.\ <br />\.. <br /> <br />200603723 <br /> <br />DR <br />9b.INDfvIDUAl'S LAST N <br />DIBBERN <br /> <br /> <br />MIDDLENAME,SUFFIX <br />R. <br /> <br />10.MSCI:LLANEO\JS: <br /> <br />".,' I ) <br /> <br />THE AI!OVE SPACE IS FOR FILING OFFICE USE. ONLY <br /> <br />11. ADDITIONALDEBTOR'SEXACTFULU.EGALI\IAlVE,IMsertonlyl>Ull nal\1al11. 0' 11b) - dO~dt'bb'evi.leo, combine hame$ <br />11a.ORGANIZATION'SNAME "'-'-., <br /> <br />DR 11b.INOIVIDUALSLASTNAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFF~" <br /> <br />11c. MAILING ADDR.I;SS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />11d.. SEeINST~LitTIONS <br /> <br /> <br />11e. TYPE OF .oRGANIZATION <br /> <br />11 "JURISDICTION OF .oRGANIZATION <br /> <br />11g. .oRGANIZATIONAL IDIlI/lfany <br /> <br />12.ADDlfIONAL SECURED PARTY'S <br />12il.QRGANI1A TlON'S NAME <br /> <br />A:S$IGNCiRS/P'$ NAME.jr\serl0l1IYi:llWna'na (12a 0/ 12b) <br /> <br />NONE <br /> <br />DR 12b. INDIVIDUAl'StAST NAME <br /> <br />FIRST NAME <br /> <br />'MIDDLE NAME <br /> <br />SLlFFIX <br /> <br />12C.. MAILlNOAObRESS <br /> <br />OIT'f'-' <br /> <br />ST ATE POST Al c6~' <br /> <br />coui\j-t~ <br /> <br />13, This FINANCING STATEMENT coyers timbeih becutor <br />collateral,'" Is filed .saEl fixtu'!Iflling. <br />14. Description of r.al estate. <br /> <br />.s-extracted 16'. Addili""al con.taral description; <br /> <br />sw 1/4 SEe 36 T 11 R 12, HALL COUNTY, NE <br /> <br />15. N~l)iaand ad41ll~~ ofa RECORD .oINNER of abov,,'de.cribed real estale <br />(If DebtordO'" hot ha'!"'~.t&OOrd i~l~rl>s~' <br /> <br />JERRY R. DIBBERN <br /> <br />17, Check llDIY if applicable and cheek'QI]/y ol1e box, <br /> <br />Dsbtor is a <br /> <br /> <br />Trust"" acting with respect to property held In .trust or Decedent's Est.te <br /> <br />18. Cheek ~ if .pplio.tile and cheek ~oneb"" <br />Debtor is a TRANSMITTING UTILITY <br />FiI!Id in connection will1 . Manufactured-Home Transaction - offective 30 years <br />Fil!ld in connection with a Public-Finance Tran...action - effe~ive 30 yeara <br /> <br />FILING OFFICE COpy -UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122102) <br />