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<br />200704123 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS (f",nt and back) CAR~FUllY <br />Iii. INITIAL rlNANClNG STATEMENi jo:ILE: # (same as item 18 on Amendment forml <br />200011182 <br />12, NAME OF PARTY AUTHORIZING THIS AMENOMI!N'r (same as Itme 9 on Amendment fOrm) <br />12a ORGANIZATION'S NAME <br />Kelly & Collen Appliances, Inc, <br />12b INDIVIDUAL'S LAST NAME IFIRST NAME IMIDDLE NAME,SUFFIX <br />13 Use this space for additional infofm:;ltion <br />Secured Party; <br />American Family Life Insurance Company <br />6000 American Parkway E ABOVE SPACE IS FOR FILlNO OffiCE USE ONLY <br /> <br />Madison WI 53783-0001 <br /> <br />FILING OFFIC~ coPY - NATIONAl UCC FINANCING STAT~M~NT AM~N[)M~NT A[)[)~NDUM (FORM UCC3Ad) (R~V. OS/22/02) <br />Instructions for National UCC Financing Statement AMENDMENT Addendum (Form UGC3Ad) <br />11. Enter information exactly as given in item 1 a on Amendment form. <br />12. Enter information exactly as given in item 9 on Amendment form. <br />13. If space on Amendment form is insufficient or you must provide additional information, enter additional information in item 13. <br /> <br />204-TERM <br /> <br />Rev 05/22/02 <br />