Laserfiche WebLink
<br />~_~ III <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br /> <br />9, NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />90. ORGANIZATION'S NAME <br /> <br />OR JLF, LLC <br />9b, INDIVIDUAL'S LAST NAME <br /> <br />200611438 <br /> <br />I FIRST NAME <br /> <br />I MIDDLE NAME,SUFFIX <br /> <br />10, MISCELLANEOUS: <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL lJl:B I UK'S EXACT FULL LEGAL NAME - insert only one name (11a or 11 b) - do not abbreviate or combine names <br />110. ORGANIZATION'S NAME <br /> <br />OR <br /> <br />11b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />1 1 c. MAILING ADDRESS CITY <br /> <br />STATE rOSTAL CODE <br /> <br /> <br />11g. ORGANIZATIONAL ID #, if ony <br /> <br />COUNTRY <br /> <br />1 1d. TAX 10 #: SSN OR EIN I:ADD'L INFO RE, 11 le. TYPE OF ORGANIZATION 111, JURISDICTION OF ORGANIZATION <br />ORGANIZATION I I <br />DEBTOR <br /> <br />I <br /> <br />o NONE <br /> <br />12. l ADDITIONAL SECURED PARTY'S or [J ASSIGNOR SIP'S NAME - insert only one name (12a or 12b) <br />120. ORGANIZATION'S NAME <br /> <br />OR <br /> <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 rOSTAL CODE <br /> <br />COUNTRY <br /> <br />13. This FINANCING STATEMENT covers 0 timber to be cut or 0 as.extracted 16. Additionol collateral description: <br /> <br />collateral, or is filed as a [XI fixture filing. <br /> <br />14. Description of real estate: <br />The goods are or are to become fixtures on: Lot Ten <br /> <br />(10), Meadowlark West Fourth Subdivision, in the City <br /> <br />. of Grand Is-land,-HaH-County, Nebraska. <br /> <br />15. Name and address of e RECORD OWNER of above.descrlbedreal .stote <br />(if Debtor does not have a record interest): <br /> <br />Fixtures: JLF, LLC. <br /> <br />17. Check ~ If applicable and check 2!l!i. one box. <br /> <br /> <br />Debtor is a D Trust or D Trustee acting with respect to property held in trust or D Decedent's Estate <br /> <br />18. Check.2!l!:l if applicable and check.2!!!:i one box. <br /> <br />o Debtor Is a TRANSMITTING UTILITY <br /> <br /> <br />D Filed in connection with a Manufactured-Home Transaction n effective 30 years <br /> <br /> <br />o Filed in connection with a Public-Finance Transaction -- effective 30 y.ars <br /> <br />FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Adl (REV. 07/29/981 <br /> <br />Bankers Sys:tem:!;:, Inc" St, Cloud, MN Form UCC.1ADD.LAZ 5/30/2001 <br />