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<br />'" <br /> <br />! <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY 200700516 <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9.. ORGANIZATION'S NAME <br />OR <br /> 9b, INDIVIDUAL'S LAST NAME I FIRST NAME IMIDDLE NAME,SUFFIX <br /> BRUNTZ RODNEY <br />10.MISCELLANEOUS: <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11a or 11b) - 00 not abbreviate or combine names <br /> <br /> ~ <br /> 110. ORGANIZATION'S NAME <br />OR 11 b, INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME <br /> SUFFIX <br />1-"G ADDRlOSS CITY STATE IPOSTAL CODE COUNTRY <br />110. SEE INSTRUCTIONS I ;DD'L INFO RE 111e. TYPE 01' OI<GANIZATION 11f, JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL 10 #, if any <br /> ORGANIZATION n NONE <br /> DEBTOR I I I <br />12. 1 ADDITIONAL SECURED PARTY'S 21 I I ASSIGNOR SIP'S NAME -Insert only one name (12a or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S LAST NAME <br /> FIRST NAME MIDDLe: NAMe: SUFFIX <br />12c. MAILING ADDRESS CITY STATE jPOSTAlCODE COUNTRY <br />13. This FINANCING STATEMENT cover> 0 timber to be cut or U a5-extracted 16. Additional collateral d@scription: <br /> collati:!ral. or is filed as :a III fixture filing. <br />14. Desc;ription of rea.l estate: <br />NE 1/4 SECTION 28-9.9 <br />HALL COUNTY, NEBRASKA <br />15. Name and address of a RECORD OWNER of aboYe~de$cribed real estate <br /> (if Debtor does not have a record interest): <br />RODNEY & DEBRA BRUNTZ <br /> 17. Check.2D..!Y. if applicable and check ~ one box. <br /> Debtor is a n Trust or n Trustee acting with respect to property held in trust or n Decedl!!nt's E~tate <br /> 18. Check >mil: if applicable and oheok >mil: one box. <br /> o Debtor i. a TRANSMITTING UTILITY <br /> o Filed in connection with a Manufactured-Hom@ Transaction - effective 30 years <br /> I [J Filed in conn@ction with a Public-Financ@ Transaction - effective 30 years <br /> <br />International ASSOCiation of Commercial Administrators (IACA) <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br />