Laserfiche WebLink
<br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS ront And back CAREFULLY <br />9. NAME OF FIRST DEBTOR (1 a or 1 b) ON RELATED FINANCING STATEMENT <br />90, ORGANIZATION'S NAME <br /> <br />200604883 <br /> <br />OR <br />Gb. INOIVIOUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br /> <br />MIDDLE NAMIO,SUFFIX <br /> <br />10. MISCELLANEOUS: <br /> <br />THE ABOVE SPACE 15 FOR FILING OFFICE USE ONLY <br /> <br />. ADD EXAC ULL L G NAM _ In.ort onlv = namo (11 a ar 11 bl- da nat obb",III.\o ar camblno nomo. <br /> 11a. ORGANIZATION'S NAME <br />OR .... <br />11b. INOIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> SALTER DEBRA <br />11 c. MAILING ADDRESS CIlY " ,'.r . ... . ST~~ ro~~~o;~ COUl'ollRY <br /> 25 LILLIAN LANE DONIPHAN <br />11d. SEE INSTRUCTIONS I ;DD'L INFO RE 111.. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL 10 #, If anv <br /> ~~fol:^TlON I I I fltNoNE <br />12. 1 ADDITIONAL SECURED PARTY'S lIi: rl ASSIGNOR SIP'S NAME - In..n anlv llll.I! nama 1120 ar 12b) <br /> 120. ORGANIZATION'S NAME <br />OR 12b.INDIVIDUAl'S LAST NAME FIRST NAME MIDDLE NAMe <br /> SUFFIX <br />12c. MAILING ADDRESS CITY STATE rOSTAlCODE COUNTRY <br />13. Thl. FI NANCING STATEMENT cov."O tlmbor ta b. out or 0 ....xtract.d 16. AddlHanol callateral d..crlptlon; <br /> callateral. c, I. fiI.d a. a ~ flxtur. filing, <br />14. D..crlptlon of r.ol ..tat.: <br />PARK ISLAND SQUl\RE SIXTH SUB <br />LT 2 (PERTAINS TO SUITE 12'0 & <br /> 122) , GRAND ISLAND, NE 68803 <br />15. Nam. and add,... af 0 RECORD OWNER 01 above-<l..crlbod ,..1 ..tata <br /> ~I D.blor da.. not have. r..ard Into",oI): <br />MID-COUNTRY TRADING LLC, -- <br />- 17. Ch.ak lllllx W appllcabl. and chock 2lIb! ane box. <br /> Debtor I. . nTrust or n Tru.to. acting with rllllp'ot to prap=lty hold in "ust ar n Dacedenr. Estato <br /> 18. Ch.ck lllllx If applicable and ch.ck lllllx ano box. <br /> ... O.blor \u TRANSMITTING UTILITY <br /> I- Filed In connoction with a Monufactu,od-Ham. Tran.action - elf.ctlve 30 yaa", <br /> FII.d In connection with . Publlo-Financ. Transactian - effective 30 yo.", <br /> <br />11 <br /> <br />ITIONAL DEBTOR'S <br /> <br />TF <br /> <br />E AL <br /> <br />E <br /> <br />FILING OFFICE COpy _ uee FINANCING STATEMENT ADDENDUM (FORM UeC1Ad) (REV. 05122/02) <br />