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FINANCING STATEMENT AND SECURITY AGREEMENT <br />Uniform CornnwcW Code <br />(Instructions for preparing and filing Financing Statement and Security Agreement are on the reverse side) <br />FINANCING STATEMENT is ­4 to a filing officer for filing pursuant to the Uniform Commercial Code, <br />1. Debtor(s) (Lost name first) and addressles) <br />2. Secured Party(iss) and addresses) <br />For,Filing Officer (Date, Time, Number and <br />including County of debtor's residence <br />Filing Office) <br />H4M, DUDM G. & 'j. <br />im ovaum NA iam Bw ca, <br />1415 Newcastle No. M <br />GR= ISLM <br />Grand Island, NE 6&ol <br />P. O. BM IM <br />87- 101851 <br />(W I <br />S89 <br />GRM ISLAND, M 68802 <br />Assignes(volSecured Perry and address(es):- Fled- Tax 0 #11=10MIM <br />CREATION OF SECURITY INTEREST AND DESCRIPTION OF COLLATERAL <br />Ddftr, whether one or more, as security for all of Debtors present and future indebtedness and fiatiffiaties of whatever nature to Secured Party, and <br />alt vanawsh &,A extensions thersof. grams Secured Party a sectift interest ki the llollowing coftaterRI. whet1w now am ted or hereatter acquiredliv <br />the neblor. and in additions, accessions, substitutions thereto; and all products and proceeds thersof. <br />All accounts and all records of acwmte I relating to said accounts, incInding accosts <br />receivables, Contract receivables, contract rigtrts, and all otter forms of dbliption;s <br />awing to debtor. All inventory and supplies, all recorids relating to said mweintory. <br />All furniture, fixtures, and dental equipmeirt note owned or bereafter acquumd used 3LU <br />the practice of dentistry and ortbodontics. <br />4. Description of rem Got": <br />Office Urdt. D, Grand Island Dactors Building Cmdominim Property Regime, <br />Hall Omaty, Nebraska. <br />5- Names) of record ownerfs) if different than debtorl[S): <br />i 6 chocked hem this Financing Statement is to be recorded in real OMM mOVOW <br />7- If chocked here. this Financing Statement ft filed to operate as a 0 Comirtuation Statement or, 0 an amendment (comPlil" &am 8 bekw <br />pursuant to Secon 9-412of the NebraskaLkWormCorrunec Cod*6 addoesnot inarwwav consttuteanmo <br />made at fonows: <br />Original Financing Statement filed in the office of on as Tiff No. <br />The original Financing Statement has been smanduck cost urtued and/or assigned by Whigs as follows: <br />FANG NUMWR DATE OF IFUM LOCATM OF OFFICE TYPE OF IFUJING <br />S. 0 If checked har� this Financing Statement is filed as an arneridment. pursuard to Section 9-412 of the Nebraska L%ukwm Commercial I <br />Coda, and the Original Financing Statement described in item 7 above is amended as Wlaww (Raft Signature of both Debtor and Secured <br />Pa" is <br />WARRANTIES <br />Debtor warrants: The collateral is used or being -ought -prima fly for personat family or househiAd purposes: but if marked here- for <br />mm - - - - if marked here X for business operations only the address of Debtor s residence is as shown above and Ow <br />=1=81 eah or otherwise dispose of any of the colliaterat without consent of Seam-ad Perry- As to any collateral being acquired by Debtor with <br />theprocoods of any note or notes Secured Perry may disburse directly to the. Seger of the collateral, <br />DEBTOR AGREES TO ADDITIONAL WJiW INCLUDED IN ALL SECtJRfTY AGREEMENTS GNIM TO SECURED PARTY <br />31-st arch <br />Emicuted this 48V M 87 <br />7M 4 BM OF GRAND L%JM <br />Hetw J. He= <br />POW M <br />FILING OFFICER'S COPY —FINANCING STATEMENT <br />OR <br />K <br />R <br />