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N IS IS --...J IS N --...J N IS 10 m ." c: Z o ~ T\~Ot\e.. ~K erOne Bank _~35 'N' St / PO Box 83009 LINCOLN, NE 68501 L ~ THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 10 . 50 1. DEBTOR'S EXACT FULL LEGAL NAME - illsert ollly olle debtor Ilame (h or lb) - do Ilot abbreviate or combille Ilames I n ~ % m n ::c ;'''..", ~. ~ C.> (') (/l <=:> <:::) ":}'l. --.;r 0 --, ::n c:: l:~ N a! ,. \' Z -j ~ ::::J ~) ~" -u -j rn n'1 '\-. ::0 C) ~"') >---.. -< 0 a=- . ~ <:) '\::: 0 -., C) --r; Ul .." Z tt -J - '=' :r:: ;~ ~ rr1 '" '- -0 l> ClJ c::> n1 ~ :3 r- ;::::J 0 r 1> r'\.) U> ~ Ul i ~ ;:0<: --.J l> N c..n "-' "-' --.J en 0 ~ en ~~ nCIJ "eX ~ANCING STATEMENT TRUCTIONS (frollt alld back) CAREFULLY PHONE OF CONTACT AT FILER [optional) KNOWLEDGMENT TO; (Name alld Address) 10. ORGANIZATION'S NAME OR 1 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX RAINFORTH LEONARD J 1c. MAILING ADDRESS CITY STATE / POSTAL CODE COUNTRY 7387 W ROSE DALE ROAD DONIPHAN NE 68832 USA 1d. TAX ID #: SSN OREIN /,ADD'L INFO RE /le. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZA TION 19. ORGANIZATIONAL ID #, if any ORGANIZATION I I I DEBTOR Dr! NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only Q!!!! debtor name (2a or 2b) - do Ilot abbrevia te or combine Ilames 20. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX RAINFORTH DIANA L 2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 7387 W ROSE DALE ROAD DONIPHAN NE 68832 USA 2d. TAX ID #: SSN OR EIN r ADD'L INFO RET 2e. TYPE OF ORGANIZA TION I 2f, JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any ORGANIZA TION I DEBTOR I I Dr! NONE 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P). insert onl'e!J!' ..",red party nome (30 or 3b) 30. ORGANIZATION'S NAME OR TierOne Bank 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 1235 'N' St / PO Box 83009 LINCOLN NE 68501 USA 4. This FINANCING STATEMENT COVers the fOlloNino collater~: All Assets of Grantor and specifically; All Fixtures, whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and accounts proceeds) 6. ALTERNATIVE DESIGNATI()>.J [if opplieablel: D LESSEE/LESSOR CONSIGNEE/CONSIGNOR D BAILEE/BAILOR D SELLER/BUYER D AG. LIEN D NON-UCC FiLING 6. IXIl~~:+~~~g~~D~:ATEMI~rci~ A"d~~~~'1,,[fo, 'eeordltor 'ecorde1N~~~TIe~1f:,~ 7. Ft~6hlMi~~m SEARCH REPOR~loSJ,Fo';,.9tbtor(.) D All Debtors DDeblo, 1 D DeblO' 2 OPTIONAL FILER REFERENCE DATA FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/9B) <8 -C560 10108).03 VMP Mortgogo Soiutions, Inc. 1800)521-7291 @ Banker~ Systems, Inc., St, Cloud,MN Form UCC-1-LAZ 5/30/2001