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<br />ANCING 5T A TEMENT
<br />TRUCTIONS (front and back) CAREFULLY
<br />PHONE OF CONTACT AT FILER [optional]
<br />I (308) 754.4488
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<br />:KNOWLEDGMENT TO: (Name and Addressl
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<br />sr. ?A~ So.,."k.
<br />Paul Bank, a branch of Cozad State Bank and Trust Company
<br />,P.tl{Jox 355
<br />I Grand St.
<br />, u m~r:'Paul, NE 68873
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<br />200609032
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<br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
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<br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only .2!l!!. debtor name (1 a or 1 b) - do not abbreviate or combine names
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<br /> la, ORGANIZATION'S NAME - - --- - - .-- - -- --- -- -- '" - -
<br /> -- -- -- - --
<br />OR
<br /> 11>, INI.lIVIDUAL'S LASI NAME FIRST NAME MIDDLE NAME SUFfiX
<br /> Stanczyk Leon E,
<br />1 c, MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY
<br />1130 Hwy 92 Sf. Paul NE 68873
<br />'d,TAXID#; SSN OR EIN I ADD'L INFO RE" 11e. TYPE Of ORGANIZATION 11. JURISDICTION Of ORGANIZA liON 19. ORGANIZATIONAL 10 #, if any
<br /> ORGANIZA TION
<br /> DEBTOR 1 1 1 0 NONE
<br />
<br />2, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME. insert only .2!l!!. debtor name (2a or 2b) - do not abbreviate or combine names
<br />
<br /> 2a, ORGANIZATION'S NAME
<br />OH
<br /> Jb, INDIVIDUAL'S LAST NAMF FIRST NAME MIDDLE NAME SUFFIX
<br />20, MAILING ADDRESS CITY STATE I POST AL CODE COUNTny
<br />2d, TAX ID #; SSN OR EIN I ADD'L INFO RE" 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any
<br /> OHGANIZA TION 1 1
<br /> DEBTOn 1 0 NONE
<br />
<br />3, SECURED PARTY'S NAME lor NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only ~ secured party name 13a or 3bl
<br />
<br /> 30 ORGANI? A TION'S NAME
<br />OR Sf. Paul Bank, a branch of Cozad State Bank and Trust Company
<br /> 31>, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUffiX
<br />3c, MAILlNC, ADDHESS CITY STATE rOSTAL CODE COUNTHY
<br />P.O. Box 355 Sf. Paul NE 68873
<br />
<br />4, rhis FINANCING STATEMENT covers the following collateral:
<br />Located at 314 Cherokee Avenue in the City of Grand Island, Hall County, Nebraska more accurately described as follows:
<br />Lot Four 141, in Block Three (31, In Dale Roush Second Subdivision, in the City of Grand Island, Hall County, Nebraska
<br />
<br />1975 Redman Double wide Modular Home Serial #10233256
<br />
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<br />5
<br />
<br />o AlL LIEN 0 NON-UCC FILING
<br />All Debtors 0 Dolltor 1 [] Debtor 2
<br />
<br />Leon Stanczyk
<br />
<br />Bankers Systems, Inc., St, Cloud, MN form UCC-'-LAZ 513012001
<br />
<br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV, 07/29/98)
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