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<br />,"'- <br /> <br />200800431 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (Iront and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br /> Kelly & Kelly Real Estate, L.L.C. <br />OR I FIRST NAME <br /> 9b. INDIVIDUAL'S lAST NAME IMIDDlE NAME, SUFFI) <br />10. MISCELLANEOUS: <br /> - <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONL. Y <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (lla or 11b). do not abbreviate or combine names <br /> <br /> - <br /> 11a. ORGANIZATION'S NAME <br />OR INDIVIDUAL'S lAST NAME MIDDLE NAME <br /> 11b. FIRST NAME SUFFIX <br /> Kelly Bradley J. <br />11c. MAiliNG ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />2019 Stagecoach Rd. Grand Island NE 68801 USA <br />11 d. SEE INSTRUCTIONS I ADD'l INFO RE 111e. TYPE OF ORGANIZATION 11/. JURISDICTION OF ORGANIZATION 119. ORGANIZATIONAL 10 #, ifany <br /> ORGANIZATION I d"d I 1)(1 NONE <br /> DEBTOR I n IVI ua I I <br />12. 1 ADDITIONAL SECURED PARTY'S or r 1 ASSIGNOR SIP'S NAME. insert only one name (12a or 12b) <br /> 12a, ORGANIZATION'S NAME <br />OR INDIVIDUAL'S lAST NAME <br /> 12b. FIRST NAME MIDDLE NAME SUFFIX <br />120. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers -~timber to be out Or ~ as-extracted 16. Additional oollateral desoription: <br /> oollateral, or IS filed as a 181 fixture filing. <br />14. Desoription of real estate: <br />Lot Three (3), Medical Park Subdivision. City of Grand <br />Island, Hall County, Nebraska <br />15. Name and address of a RECORD OWNER of above-described real estate <br /> (if Debtor does not have a record interest); <br /> 17. Check ~ if applicable and check QD.!l' one box. <br /> Debtor is anT rust or n Trustee acting with respect to property held in trust or n Decedent's Estate <br /> 18. Cheok ~ if applicable and check QD.!l' one box. <br /> '"' Debtor is a TRANSMITTING UTILITY <br /> I- Filed in connection with a Manufactured-Home Transaotion . effeotive 30 years <br /> Filed in connection with a Publio-Finanoe Transaotion . effeotive for 30 years <br /> <br />FIL.ING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br /> <br />Harland Financial Solutions <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />