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<br />; <br /> <br />FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (la or lb) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR -rMIDDLE NAME,SUFFIX 200802770 <br /> 9b. INDIVIDUAL'S LAST NAME IFIRST NAME <br /> LEMUS JOSEFINA <br />10. MISCELLANEOUS <br />13904755-NE-79 <br />10656 PRIME ACCEPTAN <br />File with: CC NE Hall, NE 610100017 <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only o~ name (11 a 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 />11 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11 d. SEE INSTRUCTION ~:D'l INFO RE r1e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br /> RGANIZATION D NONE <br /> DEBTOR <br /> <br />12. D ADDITIONAL SECURED PARTY'S QL D ASSIGNOR SIP's NAME - insert only one name (12a or 12b) <br /> <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br /> SUFFIX <br />12c. AILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers 0 timber to be cut or o as.extracted 16. Additional coliateral description: <br /> collateral or is filed as a [25J fixture filing. <br />14. Description of real estate: <br />Description: LOT?, BLOCK ELEVEN, LAMBERT'S <br />ADDITION, CITY OF GRAND ISLAND, HALL COUNTY, <br />NEBRASKA <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 /> 18. 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 />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br /> <br />Prepared by UCC-Direct Services, Inc., P.O. Box 29071 <br />Giendale, CA 91209-9071 Tel (800) 331.3282 <br />