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200800431
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1/17/2008 3:21:00 PM
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1/17/2008 3:21:00 PM
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DEEDS
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200800431
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<br />Ii <br /> <br />200800431 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front 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 IMIDDLE NAME, SUFFIX <br /> 9b. INDIVIDUAL'S LAST NAME <br />10. MISCELLANEOUS: <br /> .- <br /> THE ABOVE SPACE IS FOR FIL.ING OFFICE USE ONL. Y <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only!,~ name (11a or 11 b) - do not abbreviate or combine names <br /> <br /> 11a. ORGANIZATION'S NAME <br />OR <br /> 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> Kelly Brian K. <br />11c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />192 MC Hwy 30 Grand Island NE 68801 USA <br />11d. SEE INSTRUCTIONS IfDD'L INFO RE 111e. TYPE OF ORGANIZATION 11f JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL 10 #, if any <br /> ORGANIZATION I d' 'd I IX! NONE <br /> DEBTOR I n IVI ua I I <br />12. I ADDITIONAL SECURED PARTYS or I I ASSIGNOR SIP'S NAME - insert only one name (12a Or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR <br /> 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers 1&1 timber to be cut or ~ as-extracted 16. Additional collateral description: <br /> collateral, or is tiled as a 1&1 fixture filing. <br />14. Description of real estate: <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 Q!1Jy if applicable and check Q!1Jy one box. <br /> Debtor IS a n Trust or n Trustee acting with respect to property held in trust or n Decedents Estate <br /> 18. Check Q!1Jy if applicable and check Q!1Jy one box. <br /> I- Debtor is a TRANSMITTING UTILITY <br /> i- Filed in connection with a Manufactured-Home Transaction - effective 30 years <br /> Filed in connection with a Public,Finance Transaction - effective for 30 years <br /> <br />FIL.ING OFFICE COPY - uee FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br /> <br />Harland 'Financial SolUtions <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />
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