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10 m "'ft c: Z o ~ ~~ OX ?Ii: f\.:) s s (Xl s -...,J w W 01 I ~o ~)> ~~ =INANCING STATEMENT AMENDMENT , INSTRUCTIONS (front and back) CAREFULLY _ & PHONE OF CONTACT AT FILER [optional] .Y MOCK 800-648-8026 EXT. 8359 ~ ) ACKNOWLEDGMENT TO: J.!jj'm? and Address) - JU:CAAY DIVERSIFIED FINANCIAL SERVICES, LLC 14010 FIRST NATIONAL BANK PKWY STE 400 OMAHA NE 68154 L -.J m ,-..." ~ C:,"":':) 0 (fJ c.:;.~ :D ::~ co 0 --4 a m c: P- C"\.) 0 .~ Z --4 :.:0 ~- = -4 m t;; Pl C) -< a C')~<~ 0 Z C) ~ C"\.) 0 ""TJ 0 .." c.n ""TJ Z co ~ 0 t~ .X: Pl ["'"1 );, " -u :>> eLl 0 c: r"1", t ::3 r- ':::::) :s: 0 k r- 1> -..J m (.n Ul ~ ........ ;:><; (..) C' p w :z w ----" ---- 0 N (/l c.n (/l 200807335 /O..sD THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 11b. This FINANCING STATEMENT AMENDMENT is ~ to be filed [for record] (or recorded) in the 1"1 REAL ESTATE RECORDS. 2. [J TERMINATION: Effectiveness of the Financing Statement identified above is termineted with respect to security Interest(s) of the Secured Perty authorizing this Termination Statement. 3.121 CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law. 1a.INITIAl FINANCING STATEMENT FILE # #0200400006 01/02/2004 HALL CNTY, NEBRASKA 4. ASSIGNMENT (full or partial): Give name 01 assignee in item 7a or 7b and addras9 01 assignee in item 7c; and also give name of assignor in item g, 5, AMENDMENT (PARTY INFORMATION): This Amendment allects DELETE name: Give record name to be deleted In item 6a or 6b. 6. CURRENT RECORD INFORMATION: 6a. ORGANIZATION'S NAME OR 6b. INDIVIDUAL'S LAST NAME FIRST NAME HARGENS MARTIN 7. CHANGED (NEW) OR ADDED INFORMATION; ADD name: Complete item 7a or 7b, and also item 7c. also com lete items 7d-7 if a Iicable, MIDDLE NAME SUFFIX L 7a ORGANIZATION'S NA'I.E OR 7b. INDIVIDUAl'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX 7c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY 7d. TAX ID #: SSN OR EIN IfDO'L INFO RE 17e. TYPE OF ORGANIZATION 71. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL 10 #, if any ORGANIZATION D NONE DEBTOR I 8. AMENDMENT ( COLLATERAL CHANGE): check only llllil box. Descnue Coilcfi:eral DdeJetell l.)I Dadoed, o( y,:."'~entiiaDfv50laled collal~ral description, or d~'5Icrjbe coll.at~ral D~Migned 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name 01 assignor, II this Is an Assignment), II this Is an Amendment authorized by a Debtor which adds collateral or adds the euthorlzlng Debtor, or il this Is a Termination authorized by a Oebtor, check here and enter name 01 DEBTOR authorizing this Amendment. 9a. ORGANIZATION'S NAME DIVERSIFIED FINANCIAL SERVICES, LLC OR 9b, INDIVIDUAL'S lAST NAME FIRST NAME 10.0PTIONAL FilER REFERENCE DATA 009.0102521~001 HARGENS, MARTIN & STACIA MIDDLE NAME SUFFIX FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)