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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 <br /> 9b. INDIVIDUAL'S LAST NAME IPIRST NAME IMIDDLE NAME,SUFFIX <br /> PANOWICZ MICHAEL <br />10. MISCELLANEOUS: 200607529 <br /> ." <br /> ~. '. <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />. CJ <br /> <br />"., <br /> <br />,ADDITI NAL EXA LE AL _ insert only .one. name (11a or 11b). do not abbreviate or combine names <br /> 11a. ORGANIZATION'S NAME <br />OR 11b.INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c, MAILING ADDRESS CITY STATE IFOSTALCODE COUNTRY <br />11d,TAXID#: SSN OR EIN IfDD'L INFO RE 1'1e. TYPE OF ORGANIZATION 111, JURISDICTION OF ORGANIZATION 1 19. ORGANIZATIONAL ID #, If any <br /> ORGANIZATION I I I nNONE <br /> DEBTOR <br />12 1 ADDITIONAL SECURED PARTY'S ll[ r 1 ASSIGNOR SIP'S NAME - insert only llllll 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 oovers 0 timber to be out orD as-extraoted 16. Additional oollateral desorlptlon: <br /> oollateral, or Is filed as a IZI fixture filing. <br />14. Description of reel estate: <br />NW 1/4 <br /> SECTION 15 <br />TOWNSHIP 12N <br />RANGE llW <br />HALL COUNTY, NE <br />15. Name and eddress of a RECORD OWNER of ebove-desorlbed real eslate <br /> (W Debtor does not have a record Interest): <br />RAYMOND R. HEGWER <br /> 17. CheckQ~ if epplicable and oheck 2nbl one box, <br /> Debtor is a n Trust or n Trustea acting with respect to property held in trust or n Deoedent's Estate <br /> 1 B. Check 2nbl if applloable and check 2nbl one box. <br /> =- Debtor is a TRANSMITTING UTILITY <br /> .. Filed in oonnection with a Manufacture:A~n~~~tion - effe~~!\I8.,.30/ears <br /> Flied in conneotlon with a Publlo-Flnano ,jinsactin :.../effectlv0'30 years' <br /> <br />11 <br /> <br />o <br /> <br />DEBTOR'S <br /> <br />CT FULL G NAME <br /> <br />FlUNG OFFICE COpy - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />