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i'J \Sl \Sl ex:> Sl +:0- W ex:> ex:> ~ ];- ~ ~ I'> ~ ~ V-. ~ "l ~ t'\ f\ er.. .".;> c:;::> 0 en ~ ~f ClQ 0 -1 c:: l> ::3 z -l ~ -i m -= -< G- o Q. r"\) 0 .,., ,., 0 " z 0 r :::I: rTl m -0 l> OJ m ::a r ;;0 Cl r- 1> if) en .......... ;><; I 1> en -..-. -..- N c.n c.n m ,C) ~ N 0 :0 (g C? fn CO C) Z J:: ~ W c: ex> ~ CO ~ 1Vt-. 200710475 SUFFIX 7a, ORGANIZATION'S NAME OR 7b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 7c. MAILING ADDRESS CITY STATE /POSTAlCODE COUNTRY PO BOX 223 DONIPHAN NE 68832 USA 7d, SEE INSTRUCTIONS I fDD'l INFO RE 17e. TYPE OF ORGANIZATION 7f, JURISDICTION OF ORGANIZATION 7g, ORGANIZATIONAL ID #, if any ORGANIZA llON n NONE DEBTOR 1 g, NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (namo ofe..lgnor, If this is an Assignmont), If this is an Amendmont euthorl,ed bya Debtorwl1ich adds collateral or adds the authorizing Dl!!lbtor, or if this is a Termination authorized by a Debtor, chl!!lu::k here and enter name of DEBTOR authorizing this Amendment. SUFFIX : FINANCING STATEMENT AMENDMENT lW INSTRUCTIONS (front and back) CAREFULLY ME & PHONE OF CONTACT AT FILER [optional] OMAS J. CORKLE, PRES HB-D ND ACKNOWLEDGMENT TO: (Name and Address) r;ERIT AGE BANK DONIPHAN ATTEN: TOM CORKLE PO BOX 406 DONIPHAN, NE 68832 L -.J 1a. INITIAL FINANCING STATEMENT FILE # THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11b' This FINANCING STATEMENT AMENDMENT is I '" to be filod [for record] (or recordod) in the I hll REAL ESTATE RECORDS, 2.1lI TERMINATION: Effoctiveness of the Financing Statement identified above is te,minated with rospoct to secu,lty interest(s) of tho Secuted Party authori,ing this Termination statomont. 3. U CONTINUATION: Effoctivones. of the Financing Statomont identified abovo with ro.pect to security intorost(s) of the Secured Party authori,ing this Continuation Statement Is continued for the additional period provided by applicable law, 4. ASSIGNMENT (full or partial): Give name of assignoo in itom 7a 0' 7b and addross of a..ignee in ~em 7c; and al.o give name of assignor in ~om g, 5. AMENDMENT (PARTY INFORMATION): This Amondmont affects Socured Party of record, Check only llIl.W. of these two boxos, Also check QD,,;, of the following three boxes .iD.l1. provide appropriate Information in items 6 and/or 7. CHANGE namoandloraddress: Pleaso refortotho detailed instructions DELETE name: Give record name ADD name: Complate ~om 7a or7b, and also ~em 7c; inre ardstochan in thenli1tne/addressofa a . to be deleted in Item 6a or 6b. also com leteitems7e-7 if a licable. 6. CURRENT RECORD INFORMATION: 6a. ORGANIZATION'S NAME OR 6b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME ANTLE 7, CHANGED (NEW) OR ADDED INFORMATION: BARB 8. AMENDMENT (COLLATERAL CHANGE): check only llIl.W. box. Desc;tibe collateral D dl!lleted or D added, or give entire D restated collateral desc;tlption, or describe c;ollateral D as!.igned. LOITFIVE (5), BLOCK TWO (2), ORIGINAL TOWN OF DONIPHAN, HALL COUNTY, NEBRASKA. ga, ORGANIZATION'S NAME HERITAGE BANK OR 9b, INDIVIDUAt.'S t.AST NAME FIRST NAME MIDDLE NAME 1 a.OPTIONAl FILER REFERENCE DATA International Association of Commercial Administrators (IACA) FILINO OFFICE COPY - UCC FINANCING STATEMENT AMENDMENT (FORM UCCJ) (REV. OS/22/02)