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<br />200509798 <br /> <br />UCC 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. ORGANIZA TION'S NAME <br />OR <br /> 9b. INDIVIDUAl'S lAST NAME rRST NAME IMIDDlE NAME,SUFFIX <br /> LLAMAS LUCILA <br />10. MISCEllANEOUS: <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME. insert only one name (lla or llb) - do not abbreviate or combine nameS <br /> <br /> - <br /> 110. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAl'S lAST NAME FIRST NAME MIDDlE NAME SUFFIX <br />llc. MAILING ADDRESS CITY STATE IPOSTAlCODE COUNTRY <br />11 d. SEE INSTRUCTIONS I fDD'"INFO RE \lle. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 119. ORGANIZATIONAllD #, ,f any <br /> ORGANIZATION n NONE <br /> DESTOR I I I <br />12. III ADDITIONAL SECURED PARTY'S fIl r 1 ASSIGNOR SIP'S NAME - insert only ~ name (12a or 12b) <br /> 12a, ORGANIZATION'S NAME <br />OR CARMEL FINANCIAL CORPORATION <br /> 12b. INDIVIDUAl'S lAST NAME FIRST NAME MIDDlE NAME SUFFIX <br />12c, MAIliNG ADDRESS CITY STATE IPOSTAlCODE COUNTRY <br />101 EAST CARMEL DRIVE. SUITE 200 CARMEL IN 46032-6127 <br />13. This FINANCING STATEMENT coverS 0 timber to be cut or 0 as-extracted 16. Additional collateral description: <br /> collateral, or is filed as a III fixture filing. <br />14. Description of r.al estate: <br />1045 S. EUGENE STREET <br />GRAND ISLAND, NE 68801 <br />COUNTY: HALL <br />LEGAL DESCRIPTION: Parcel Number- <br />400054434; KOEHLER PLACE W 176' 10 BLK 1 <br />WATER TREATMENT EQUIPMENT <br />MODEL: ATLANTIS / PROLINE PLUS <br />SERIAL: 226488/505379 <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 2Iili if applicable and check 2Iili one box, <br /> Debtor is a n Trust or n Truste. acting with respect to property held in trust or n Oecedent's Estate <br /> 18. Check ~ ~ applicable and check 2Iili one box. <br /> a Debtor is a TRANSMITTING UTIliTY <br /> Filed in connection with a Manufactured-Home Transaction - effective 30 years <br /> o Filtitd in connection with a Public-Finance Transaction ~ effective 30 yeats <br /> . . <br /> <br />International ASSociation of Commercial Administrators (IACA) <br />FILING OFFICE COpy - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. OS/22/02) <br />