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<br />.~. '. <br /> <br />FINANCING STATEMENT ADDENDUM , , <br />FOLLOW INSTRUCTIONS (front and back) CARE FULL Y _H <br />9. NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR I MIDDLE NAME,SUFFIX <br /> 9b, INDIVIDUAL'~~N'<;-M8 I FlRS,T NAME '- ) <br /> Fuentes - ., Denny <br />10, MISCELLANEOUS <br />13527597lNE-79 <br />18490 CARMEL FINANCI <br />BLWA <br />CFC <br />File with: CC NE Hall, NE <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />200801485 <br /> <br />, <br />" t,. <br />,._ ~J <br /> <br />11, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only OillL name (11 a or 11 b) - do not abbreviate or combine names <br /> <br /> 11a, ORGANIZATION'S NAME <br />OR <br /> 11b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c, MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11d. SEE INSTRUCTION fo:D'L INFO RE 111e. TYPE OF ORGANIZATION 11 f. JURISDICTION OF ORGANIZATION 11g, ORGANIZATIONAL 10 #, if any <br /> RGANIZATION o NONE <br /> DEBTOR <br /> <br />12. D ADDITIONAL SECURED PARTY'S Ql D ASSIGNOR SIP's NAME - insert only Q!llL name (12a or 12b) <br /> <br /> 12a, ORGANIZATION'S NAME <br />OR 12b, INDIVIDUAL'S LAST NAME MIDDLE NAME SUFFIX <br /> FIRST NAME <br />12c. "'AILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. ThiS FINANCING STATEMENT covers D timber to be cut or D as-extracted 16, Additional collateral description; <br /> collateral or is filed as a [29 fixture filing. <br />14. Description of real estate; <br />Description: 1216 St Paul Rd Grand Island, NE 68801 <br />County: HALL Lot 1 Weinert Subdivision <br />Instrument#200707626 Whole House Water <br />Conditioner/Reverse Osmosis Model: Atlantis/Proline <br />Plus/5.Stages Serial#249768/00011 <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!]]y if applicable and check Q!])y one box, <br /> Debtor is a D Trust or D Trustee acting with respect to property held in trust or D Decedent's Estate <br /> 16. Check Q!]]y if applicable and check Q!])y one box, <br /> D Debtor is a TRANSMITTING UTILITY <br /> D Flied in connection with a Manufactured-Home Transaction -- effective 30 years <br /> I n Filed in connection with a Public-Finance Transaction -- effective 30 years <br /> <br />- <br /> <br /> <br />= <br /> <br />- <br />- <br />;;;;;;;;;;; <br /> <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br /> <br />- <br />- <br /> <br />- <br />;;;;;;;;;;; <br /> <br />- <br /> <br />= <br />;;;;;;;;;;; <br /> <br />= <br /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV, 05/22/02) <br /> <br />Prepared by UCG-D"ect SeNlces, Inc__ P.O. Box 29071 <br />Glendale. CA 91209-9071 Tel (800) 331-3282 <br />