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<br />200801891 <br /> <br />FINANCING STATEMENT ADDENDUM <br />FOLLOW .INSTRUCTIONS (front and back) CAREFULLY <br /> <br />9. NAME OF FIR$T DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIzATION'S NAME <br /> <br />--., <br /> <br />OR <br />9b. INDIVIDUAL'S lAST NAME <br />POLLARES <br /> <br />FIRST NAME <br />LEONZO <br /> <br />MIDDLE NAME,SUFFIX <br /> <br />,.. 10. MISCELLANEOUS <br />l 13653526-NE-557 <br /> <br />17371 SERVICE FINANC <br /> <br />18700598524 <br /> <br />File with: CC NE Hall County Register of Deeds, NE <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only OlliL name (11a or 11 b) - do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br /> <br />OR <br /> <br />11 b. INDIVIDUAL'S lAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />11 c. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />11d. SEE INSTRUCTION <br /> <br /> <br />111e, TYPE O-F ORGANIZATION <br />I <br />I <br /> <br />111. JURISDICTlOi'l OF ORGANIZATION <br /> <br />11g. ORGANiZATIONAL 10#, ifeny <br /> <br />D NONE <br /> <br />12. D ADDITIONAL SECURED PARTY'S ill. D ASSIGNOR SIP's NAME - insert only Q!1!L name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br /> <br />OR <br />12b.INDIVIDUAl'S lAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDle NAME <br /> <br />SUFFIX <br /> <br />12c. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />= <br /> <br />13. Th" FINANCING' STATEMENT covers D limber to be cui or D as-extracted <br />collateral or IS filed as a [8] fixture filing. <br /> <br />16, Additional collateral description; <br /> <br />- <br />- <br /> <br />;;;;;;;;;;; <br />- <br /> <br />14. Description of reol estate: <br /> <br />- <br />= <br /> <br />Description: Leonzo & Dawn Pol-Lares 314 S Vine St <br />Grand Island, NE 68801 Warranty Deed: 200607452 Lot <br />three (3), in block seven (7), Koehler Place, in the City of <br />Grand Island, Hall County, Nebraska. <br /> <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br /> <br />- <br />- <br /> <br />~ <br />- <br /> <br />15. Name jnd address of a RECORD OWNER of above-described real estate = <br />(if Debtor does not have a record interest): =:;: <br /> <br />17, Check QQ!;: If opplicable and check QO)y. one box. <br />Debtor is aD Trust or D Trustee acting with respect to property held in trust or D Decedent's Estate <br />18. Check QQ!;: ifapplicable and check QQ!;: one box. <br />D Debtor is a TRANSMITTING UTiliTY <br />D Filed in connectIon with a Manufactured-Home Transaction -- effective 30 years <br />D Filed in connection with a Public-Finance Transaction n effective 30 years <br />Prepared by UCC-Direct Services. Inc., P.o. Box 29071 <br />FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) Glendale, CA 91209-9071 Tel (800) 331.3282 <br />