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<br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back' CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR lM~DDLE NAME, SUFFIX <br /> 9b. INDIVIDUAL'S LAST NAME I FIRST NAME <br /> Janovec David <br />10. MISCELLANEOUS: 200606544 <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11 a or 11 b) - do not abbreviate or combine names <br /> <br /> - <br /> 11a. ORGANIZATION'S NAME <br />OR INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> 11b. <br />11c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11d SEE INSTRUCTIONS 'I^DD'L INFO RE 111e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br /> ORGANIZATION I I n NONE <br /> DEBTOR I <br />12. lADDITIONAL SECURED PARTY'S or Il ASSIGNOR SIP'S NAME - insert only one name (12a or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers Dtimber to be cut or D as-extracted 16. Additional collateral description: <br /> collateral, or is filed as a 181 fixture filing. <br />14. Description of real estate: <br />Lot Two (2), Block Two (2), Crane Valley Subdivision, City <br />of Grand Island, Hall County, Nebraska <br />15. Name and address of a RECORD OWNER of above.described real estate <br /> (if Debtor does not have a record interest): <br /> 17. Check'2!'!Y if applicable and check '2!'!Y one box. <br /> Debtor is an Trust or n Trustee acting with respect to property held in trust or n Decedent's Estate <br /> 18. Check'2!'!Y if applicable and check '2!'!Y one box. <br /> i- Debtor is a TRANSMITTING UTILITY <br /> i- Filed in connection with a Manufactured-Home Transaction. effective 30 years <br /> Filed in connection with a Public-Finance Transaction - effective for 30 years <br /> <br />FILING OFFICE COpy - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br /> <br />Harland Financial Solutions <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />