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200606665
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200606665
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Last modified
7/27/2006 1:12:01 PM
Creation date
7/27/2006 1:12:01 PM
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DEEDS
Inst Number
200606665
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<br />/,-.-..... <br /> <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. ORG6.NIZATION'S NAME 200606665 <br />OR <br /> 9b. INDIVIDUAL'S LAST NAME I FIRST NAME I MIDDLE NAME, SUFFI <br /> O'NEILL GORDON <br />10. MISCELLANEOUS: <br /> THE ABOVE SPACE IS FOR FlUNG OFFICE USE ONLY <br />11. ADDITIONAL Ul:;Ij I UKt> EXACT FULL lEGAL NAME - insert onl one name 11 a or 11 b - do not abbreviate or combine names <br />- <br /> 11a. ORGANIZATION'S NAME <br />OR <br /> 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE rOSTALCODE COUNTRV <br />11 d. TAX ID #; SSN OR E1N IfDD'l INFO RE 111e. TYPEOF ORG6.NIZATION 11f. JURISDICTION OF ORG6.NIZATION 11g. ORG6.NIZATIONAL 10 #, if any <br /> ORG6.NIZATlON I I I <br /> DEBTOR c::::::::JNONE <br /> <br />y <br /> <br />12. D ADDITIONAL SECURED PARTY'S or <br /> <br />c:::::J ASSIGNOR SIPS NAME - insert only one name (12a or 12b) <br /> <br /> - - <br /> 1 2a. ORG'\NIZA TION'S NAM E <br />Ool <br /> 12b. INDIVIDUAL'S LAST NAM E FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRV <br />13. This FINANCING STATEMENT covers D timber to be cut or 16. Addltio nal coliateral descriptio n: <br />c::::::::J a.-extracted coliateral, or is filed as a [X] fixture filing. <br />14. Description of real estate: <br />SEE PAGE 1 FOR LEGAL DESCRIPTION <br />15. Name and address of a RECORD OWNER 01 above-<lescribed real estate <br /> (if Debtor does not have a record interest): <br /> 17. Check ~ if applicable and check ~ one box. <br /> Debtor is a D Trust or c::::::::J Trustee acting with respect to property held in lru st or <br /> c:::::J Decedent's Esta Ie <br /> 18. Check ~ If applicable and check ~one box. <br /> c:::::J Debtor is a TRANSMITTIN ILlTY <br /> c:::::J Filed in connection with a Manulactured.Home Transaction - - effective 30 years <br /> c:::::J Filed in connectio n with a Public-Finance Transactio n - - eff ective 30 years <br /> <br />ACKNOWLBlGMENT COPY -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FCRM UCC1Ad) (REv'. 07/29/98) <br />G -C562 (0108).03 VMP MORrGAGE FO~S (800)521 -7291 Bankers Systems, Inc., 51. Cloud, MN Form UCC-1ADD-LAZ 5/30/2001 <br />C!> <br />
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