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200604883
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Last modified
6/1/2006 3:57:35 PM
Creation date
6/1/2006 3:57:35 PM
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DEEDS
Inst Number
200604883
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<br />UCC FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS (front and backl CAREFUllY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> SA. ORGANIZATION'S NAME <br />OR THE BRIDAL COLLECTION, L.L.C. <br /> 9b. INDIVIDUAL'S LAST NAME I FIRST NAME. I MIDDLE NAME. SUFFIX <br /> 200604883 <br />, O. MISCELLANEOUS: <br /> I <br /> THE ABOVE SPACE IS FOR flUNG OFFICE USE ONLY <br /> <br />, 1. ADDITIONAL DEBTOR'S FXACT FUll lEGAL NAME - insert only Q!}! name (1 1a or 1 1b) - do not abbreviate or combine names <br /> <br />0' <br />I <br /> <br /> " a. ORGANIZATION'S NAME <br />OR <br /> I I b. INDIVIDUAL'S LAST NAM~ FIRST NAME MIDDLE NAME SUFFIX <br /> GLOCK EElROY <br />, I o. MAILING ADDRESS CITY STATE I POSTAL COPE COUNTRY <br />3207 DIXIE: S:;)UARE GRAND ISLAND NE 68803 .. .~, <br />I 1d. TAX ID N: SSN DR EIN ADD'l INFO RE I I le. TYPE OF ORGANIZATION I If. JURISDICTION OF ORGANIZATION 1 19. ORGANIZATIONAL ID iI. If any <br /> ORGANIZATION I I I <br /> PEBTOR [X]NONE <br /> <br />I' <br /> <br />12. c::::J ADDITIONAL SECURED PARTY'S or <br /> <br />o ASSIGNOR SIP'S NAME - Insert only ono nama 1128 or 12b} <br /> <br /> - <br /> 120. ORGANIZATION'S NAME <br />OR <br /> 12b.INDIVIDUAl'S LAST NAME FIRST NAME MIDOlE NAME SUFFIX <br />120. MAILING ADDRESS CITY STATE I POSTAL CODe COUNTRY <br />13. This FINANCING STATEMENT oover. h=J timber to be out or 1 e. Additional oollatorol dascrlptlon: <br />c::::J as-o><trsotsd oollat.ral. or i. filad es [X] flxtur. filing. <br />14. Description of real astata: <br />1?1illK ISLAND S QUAlUll SIXTH SUB L'r 2 (PER'XAINS 'XO <br />SUITE 120 & 122) I GRANO ISLAND, NE 68803 <br />15. Name eod addres. of e RECORD OWNER of ebove-descrlbed real sstat. <br /> (if Doblor doss oot heve e record lot....tl: <br />MID-COUNTRY TRADING LLC, -- 17. Ch.ck .Q!!!'llf eppllcable end oheck.Q!!!'l 00' box. <br /> Debtor Is a CJ Trust or o Trustee acting with respect to property held in trust or <br /> c:J Decadent's Estate <br /> 1 a. Check 9!l!'llf applicable eod check ~ne box. <br /> o Debtor Is a TRANSMITTIN ILlTY <br /> DRied in connection with a Manufactured-Home Transaction - - effective 30 years <br /> r::::J Flied in connection with a Pub1ic-Rnanca Transaction. - effective 30 yaats <br /> <br />FlUNG OFFICE COpy - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Adl (REV. 07/29/98) . <br />.. -C562 (0108).03 VMP MORTGAGE FORMS (800)621.7291 Benlalr. Systems. 100.. St. Cloud. MN Form UCC-1ADD-LAZ 6/30/2001 <br />@ <br />
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