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110 m -n c:: One ~>~ n(/) ~:c I I :INANCING STATEMENT AMENDMENT INSTRUCTIONS (front and back) CAREFULLY ,& PHONE OF CONTACT AT FILER [optional] Y MOCK 800-648-8026 EXT.8359 ACKNOWLEDGMENT TO: (Name and Address) - [:? t' t- tIvvv- DIVERSIFIED FINANCIAL SERVICES, LLC 140 10 FIRST NATIONAL BANK PKWY STE 400 OMAHA NE 68154 ~ Con ::t 1-'.......,.." r';';:"" C~> C>O n :c rn n '" t >,l. ~ ~i.:' ..~ ~'- , '. ,I-- c) ....,,~'~~ ." w =3 = = f\..) \Sl 8 OJ 8 -" -..J 8 OJ }.:.. 1...-" (', \~. ~ t- I~ CJ N ro (""J fT', en ~::;,) (/J ::n ::3 I L -.J C/' --1 J:> -< rn C:" -Tl o o c: z -1 -< o ~l .,.... -'f"""" C""" :r;.~ I::' r-- ~~J I ~.. C/l ;:><: )> --- --- en en c:> N C) c:::> CO o ~ --J o CO ~ m ::0 111 o :l> CI> Z en :it c s: rn z -f :z o /1),50 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY la.INITIAL FINANCING STATEMENT FILE # Ii ,b. This FINANCiNG STATEMENT AMENDMENT is 0200303935 04/0312003 HALL CNTY REG OF DEEDS, NEBRASKA 7 to be filed [for record] (or recorded) in the 1"1 REAL ESTATE RECORDS 2. fl TERM I NATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authoo.ing this Termination Statement 3~ CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authori.ing this Continuation Statement is continued for the additional pariod providod by applicable law. 5. AMENDMENT (PARTY INFORMATION): This Amendment affects 4. ASSIGNMENT (full or partial): Give name of assignee in item 780 or 7b and address of assignee in item 7c; and also give name of assignor in item 9. DELETE rH:Hne: Give record name to be deleted in item 6a. or 6b. ADD name: Complete item 7 a 01' 7b, and also item 7c. also com lete items 7d-7 if a licable 6. CURRENT RECORD INFORMATION: 6a. ORGANIZATION'S NAME OR 6b. INDIVIDUAL'S LAST NAME FIRST NAME MOSS DONALD SUFFIX 7a. ORGANIZATION'S NAME OR 7b. INDIVIDUAL'S I-AST NAME FIRST NAME MIDDLE NAME SUFFIX 7c. MAII-ING ADDRESS CITY STATE IPOSTAL CODE COUNTRY 7d. TAX ID #: SSN OR EIN \:DD'l INFO RE \7e. TYPE OF ORGANIZATION 71. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #. if any ORGANIZATION n NONE DEBTOR I 7. CHANGED (NEW) OR ADDED INFORMATION: n. AMErWiviENT (COLL,\TERAL CHANGE): check o',1y '""-" boX. Describe collataral Ddeleted or o added, or give entireDrastated collaterel description. or describe collateral DaSSigned 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor. if this is all Assignment). If this Is an Amendment "uthomed by a Debtor which adds collateral or adds the authorizing Debtor, or if this is a Tormination authorIzed by a Debtor, check here and enter name of DEBTOR authorizing this Amendment. 9a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC OR 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME 10. OPTIONAL FILER REFERENCE DATA 109-0084098-002 MOSS, DONALD & DONNA SUFFIX FILING OFFICE COpy _ NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)