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<br />~ <br /> <br />'" <br /> <br />20061075-5 <br /> <br />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 LA,F;NAME .ir'RST NAME IMIDDlE NAME,SUFFIX <br /> PASCUAL ". I : /,:,"~' t / . "MIBUEL SEBASTIAN <br />10. MISCELLANEOUS <br />9793562-N E.557 <br />10656 PRIME ACCEPT AN <br />626060386 <br />File with: CC NE Hall County Register of Deeds, NE <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - insert only 0.!1lL name (11a or 11 b) - do not abbreviate or combine names <br /> <br /> 11a. ORGANIZATION'S NAME <br />OR <br /> 11b.INDIVIDUAl'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11 d. SEE INSTRUCTION ~!D'l INFO RE 111e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL 10 #, ifany <br /> RGANIZATION o NONE <br /> ESTOR <br /> <br />12 0 ADDITIONAL SECURED PARTY'S or 0 ASSIGNOR SIP's NAME - insert on Iv ~ name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br /> <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />12c. MAiliNG ADDRESS <br /> <br />CITY <br /> <br />STATE jPOSTAlCODE <br /> <br />COUNTRY <br /> <br />- <br /> <br />;;;;;;;;;;; <br />- <br /> <br />13. This FINANCING STATEMENT covers 0 timber to be cut or 0 as-extracted <br />collateral or is filed as a ~ fixture filln9. <br /> <br />16. Additional collateral description: <br /> <br />- <br />- <br />- <br />;;;;;;;;;;; <br />= <br /> <br />14. Description of real estate: <br /> <br />- <br />- <br />;;;;;;;;;;; <br />- <br /> <br />- <br /> <br />Description: RUSSELL WHEELER'S ADD N 56.15' L T 6 <br />BLK28 LOT: 6 PARCEL NUMBER: 400121565 <br /> <br />- <br /> <br />:: <br /> <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br />- <br /> <br />= <br />- <br />- <br /> <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest): <br /> <br />JORGE HERNANDEZ <br /> <br />17. Check 2t!!Y if applicable and check lli!!Y. one box. <br />Debtor is aD Trust or D Trustee acting with respeello properly held in trust or D Decedent's Estate <br /> <br />1 a. Check 2t!!Y if applicable and check 2!l!Y. one box. <br />o Debtor is a TRANSMITTING UTILITY <br />D Filed In connection with a Manufactured-Home Transaction -- effective 30 years <br />I n Flied In connection with a Public.Flnance Transaction -- effective 30 years <br /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br /> <br />Prepared by UCG-Dlrect Services, Inc., P.O. Box 29071 <br />Glendale. CA 91209-9071 Tel (800) 331-3282 <br />