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<br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and b.ack\ CARE FUll Y <br />9, ~ME OF FIRST DEBTOR (fa or lb) ON RELATeD FINANCING STATEMENT <br />(10. ORGANIZATION'S NAME <br /> <br />OR (lb;~S'SU-A~~"'----l~~E--- <br /> <br />10. MISCELLANEOUS, <br /> <br />, .'--n---'m----lMiiS'5LENAiXE,SUFFLX <br />I DOUGLAS <br /> <br />200702749 <br /> <br />THE ABOVE SPACE lis,'FOR FILING OFFice U$e ONLY <br /> <br />11 ADDITIONAL DEBTOR'S EXACT FUll LEGAL NAM: .in'eltonIYlll1lln.me (110 or11b) .do nol.bb.......Ill 01 combine nlmM <br />111, ORGANIZATION'S NAME <br /> <br />OR 11 b, INDIVIDUAL'S LAST NAME <br />I <br /> <br />FIRST NAME <br /> <br />MID\)LE NAME <br /> <br />SUFFIX <br /> <br />110,. MAIUNG ADDRESS <br /> <br />CITY <br /> <br />:'iT ATF POSTAL CODE <br /> <br />COltolTRY <br /> <br />11d, SEEINSTRUCTIONS <br /> <br /> <br />11 e_ TYPE OF OR GANIZA nON <br /> <br />111. JURISDICTION OF ORGANIZATION <br /> <br />i1'g~ OROANIZATIONAllD II. ;ie;;y-....~.- <br /> <br />12. <br /> <br />ASSIGNOR SIP'S NAME.i""EiI10nIYlW~n.mO(12'0I~2b) <br /> <br />NONE <br /> <br />OR 12b. INDIVlDUAl'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />-12c. MAIUNG ADDRESS <br /> <br />CITY <br /> <br />S1 ATE post Al CODE <br /> <br />COltolTRY- <br /> <br />13. This FINANCING STATEMENT covon; timbel to be cut or <br />",,1I.leral, 01 i. filed e. " jg] lil<tlJI. filing. <br />14. Descriplion 01 roal estate; <br /> <br />ar,.extreclod 16. Additional col.tor.1 d"script;"n; <br /> <br />SE/4 SEC 21, EXC 6.71 AC HWY, TWP 9, R 12, HALL <br />COUNTY, NE <br /> <br />1 S. Nlme end .dd~... 0/ e RECORD OWNER of abCJVl>-deocribed leal...tate <br />(if Debtor does not ~ave . lecol'd Interesf): <br /> <br />LOREN D BILSLEND <br /> <br />17. Check ~ If applicable end check 0IlIy ona bOlt. <br />Deblol I. . Tl\Jstoo acting 1M'" IGSP$cl to propalty ho'd In IIWI or Oacedenl'. E.tm <br />18. Check llllJl( ihpplicable O/1d c~9Ck QIlly OM bOlt. <br />Debtol I. . TR ANSMITTINO lm UTY <br />Filed in CXJnneeflon wi'" a ManutactUled.Home Tre~aaeflon ,_ elfeclMl 30 ye",. <br />Filed in conneeflon wi'" . Publie-Fln.nce Tr.n..eli"" - ~ 30 y...... <br /> <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122102) <br />