200509927 - Laserfiche WebLink

Browse

FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME 10. MISCELLANEOUS 6859703-41-1 509208 ITELMARK MIDDLE NAME,SUFFIX V 200509927 /! File with: Hall, NE THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only Qllil name (11a or 11 b) - do not abbreviate or combine names 11 a. ORGANIZATION'S NAME OR 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 11d. SEE INSTRUCTION ~rD'L INFO RE r 1e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL 10 #, if any RGANlZATION o NONE DEBTOR 12. 0 ADDITIONAL SECURED PARTY'S or 0 ASSIGNOR SIP's NAME - insert only one name (12a or 12b) - - 12a. ORGANIZATION'S NAME OR 12b.INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY 13. This FINANCING STATEME~T covers 0 timber to be cut or 0 as-extracted 16. Additional collateral description: collateral or is filed as a ~ fixture filing. 14. Description of real estate: Description: The Westerly 537 Feet of the Southerly One Thousand Eight Hundred Three and Forty Eight Hundredths Feet of the West Half of the Northwest Quarter of Section 29 Township 12 North Range Eleven West of the 6th PM Hall County Nebraska 15. Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a record interest): 17. Check QJJb/ if applicable and check QD.!:i one box. Debtor is aD Trust or o Trustee acting with respect to property held in trust or 0 Decedent's Estate 18. Check QJJb/ if applicable and check QJJb/ one box. o Debtor is a TRANSMITTING UTILITY o Filed in cor:,nectlon W!th a Manufactured-Home Transaction n effective 30 years o Filed in COMection with a Public-Finance Transaction" effective 30 years - -- - - - - - - - - - - - - - - - FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM L'CC1Ad) (REV. 05/22/02) Prepared by UCC~Dlrec:t Sel'vlCeS, Inc., P.O. Box 2907,1 Glendale, CA 91209-9071 Tel (800) 331-3282 '.