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<br />N <br />CS <br />CS <br />""..J <br />cSl <br />CD <br />(J) <br />+:0- <br />(J1 <br /> <br /> <br />\CKNOWLEDGMENT TO: (Name and Address) <br /> <br />Platte Valley State Bank & Trust Company <br />2223 Second Ave <br />Kearney, NE 68848 <br /> <br /> jIIO n ~ <br /> m :t :""''-'' <br /> ..., ~q (,n ...~~..:> (") (n c:> i <br /> c: CJ <br /> :c --.::l 0 --I <br />Q z A ,>,~ c::: :t... N <br />~ t:7 ..""?"" ::z: -, <br /> L":""_ <br />~ :::0 52 \, 1.,':::) -l '" c:> a <br />m P'1 1"\.. c::::: -< <br />n G~ ~-. C' (::) <br />'" ::I: "c..~ .-- 0 " ~ <br /> 0" w -c] ;;~~ -J <br /> ....., 't,r <br /> :I. ""1 I <br /> c;;) ,-1: p. rt) c:> <br /> (T1 \',' ::n <br /> fT\ ::3 , ;lJ CD <br /> CJ e r "l;- <br /> v' (J') CD <br /> ~ 03 ;:><: <br /> p. ..L <br /> ...j:: ---- ---- <br /> w if) c...n <br /> (f) i <br /> -.J 1.I,5iJ <br /> THE ABOVE SPACE IS fOR FILING OFFICE USE ONLY <br /> <br /> <br />L <br /> <br />DEBTOR'~:; EXAGT FULL LEGAL NAME. ins<,rt onl" one debtor name (1. or 1b) . do not abbrevi1lte or combine names <br /> <br /> -. <br /> 1a. ORGANIZATION'S NAME <br /> Andersen Limited, A Nebraska Partnership <br />OR 1 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />10. MAILING ADDRESS CITY STATE . I POSTAL CODE COUNTRY <br />4602 Avenue F Kearney NE 68847 USA <br />1d. SEE INSTRUCTIONS I ADD'l INFO RE 11e TYPE OF ORGANIZATION 11 JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL ID#. if any <br /> ORGANIZATION . I NE ~NONf' <br /> DEBTOR I Partnership I <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - insert only one debtor name (2a or 2b) . do not abbreviate 0' combine names <br /> <br /> 2a. ORGANIZATION'S NAME <br />OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />2c. MAILING ADDRESS CITY -,--, iPOSTAL CODE COUNTRY <br /> STATE <br />2d. SEE INSTRUCTIONS I ~DD'L INFO RE 12e. TYPE OF ORGANIZATION 21. JURISDICTION OF ')RGAMZATION 2g ORGANIZATIONAL ID #, if any <br /> ORGANIZATION n NONE <br /> DEBTOR I I I <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) . insert only one secu,ed party name (3a or 3b) <br /> <br /> 3a. ORGANIZATION'S NAME <br /> Platte Valley State Bank & Trust Company <br />OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY <br />2223 Second Ave Kearney NE 68848 USA <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />All Improvements to Real Estate located in Section 20-11~9, Hall County, NE commonly known as 3522 West 2nd Street, Grand Island. NE.; <br />whether any of the foregoing is owned now or acquired later; all accessions, additions. replacements, and substitutions relating to any of the <br />foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance. general <br />intangibles and accounts proceeds). <br /> <br /> <br />Debtor 2 <br /> <br />FILING OFFICE COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV_ 05/22/02) <br /> <br />Harland Financial Solutions <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />