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<br />UCC FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS Ifront and back} CAREFUllY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9.. ORGANIZATION'S NAME <br /> <br />OR <br /> <br />9b, INDIVIDUAl'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME, SUFFIX <br /> <br /> <br />TOMMY <br /> <br />L. <br /> <br />200702440 <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11, ADDITIONAL DEBTOR' EXACT FUll lEGAL NAME - insert only one name 111 a Or 11 b} - do not abbreviate or combine names <br /> <br /> 11., ORGANIZATION'S NAME <br />OR <br /> 11 b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SU~~IX <br />11 c, MAILING ADDRESS CITY ST ATE I POST AL CODE COUNTRY <br />I ld. TAX 10 #: SSN OR EIN rDD'L INFO RE I' Ie, TYPE OF ORGANIZATION 11f, JURISDICTION OF ORGANIZATION 1 '9 ORGANIZATIONAL 10 #, ,I "-'y <br /> ORGANIZATION I I <br /> DEBTOR I c=JNONE <br /> <br />12, c:::::::::J ADDITIONAL SECURED PARTY'S Q!: <br /> <br />c=J ASSIGNOR SIP'S NAME - inse" only one n.me 112a Or 1 Zbl <br /> <br /> - <br /> 12., ORGANIZATION'S NAME <br />OR <br /> 12b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />1 2c. MAILING ADDRESS CITY 5T ATE I POSTAL CODE COUNTRY <br />13, This FINANCING STATEMENT covers c:::::::::J timber to be cut or 16. Additional collateral description: <br />c:::::::::J .s-extracted coll.teral, or is filed as a [X] fIxture filing <br />14, Description of real estate: <br />Lot Ten (10) , Block Two (2) , West's Subdivision, <br />an Addition to the City of Grand Island, Hall <br />County, Nebraskll, <br />15, N.me and .ddress of a RECORD OWNER of above-aescribed real est.te <br /> (if Debtor does not have 8 record interest); <br /> 17. Check.Q.Q!y if applicable ana check.Q.Q!y one box. <br /> Debtor is a c:::::::::J Trust or c:::::::::J Trustee acting with respect to property held In trust Or <br /> c:::=J Decedent's Estate <br /> 1 8, Check.Q.Q!y if applic.ble ana check Q.Q!y one box. <br /> o Debtor is a TRANSMITTING UTiliTY <br /> CJ Filed in connection with a Manufactured,Home Transaction - - effective 30 years <br /> c:J Filed in connection with a Public-Finance Transaction - - effective 30 years <br /> <br />DEBTOR COpy ~- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV, 07/29/98) <br />Q .C562 10108),03 VMP MORTGAGE FORM51800J521-7291 Bankers Systems, Inc" St. ClOUd, MN Form UCC.1ADD.LAZ 5/30/2001 <br />@ <br />