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<br />200900874 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS {front and. backl CAREFUllY <br />9. NAME OF FIRST DEBTOR (1. or 1b) ON RELATED FINANCING STATEMENT <br />9a ORGANlZATlON'SNAME <br /> <br />OR <br /> <br />9b.INDIVIDUAl'S lAST NAME <br />MOSS <br /> <br />IFIRSTNAME <br />I DONALD <br /> <br />..- <br />I~DDLE NAME,SUFFIX <br /> <br />10. MISCELLANEOUS: <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USEONL Y <br /> <br />11. ADDITIONAL DEBTOR'S EXACT fULL lEGAL NAME . inserlonlYllM nome (11. or11b) .donohbb......... orcombine.n.mes <br />11.. ORGANIZATION'S NAME <br /> <br />OR 11 b. INDIVIDUAL'S lAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />11c. MAIUNG ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />CO.UNTRY <br /> <br />11d. SEEINSTRucricj"Ns" <br /> <br /> <br />11 e. TYPE-OF ORGANIZA nON <br /> <br />:;;'1. JURISDICTION OF ORGANIZATION <br /> <br />11g. OR-aANIZATIONAL ID ill. if any <br /> <br />~E <br /> <br />12. <br /> <br />OR 12b. INDIVIDUAl.'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />12c. MAIUNG ADDRESS <br /> <br />CITY <br /> <br />STATE POsTArCOm::. <br /> <br />COlil'i'RY ...~ <br /> <br />13, This FINANCING STATEMENT cove", <br />coll.teral, or 1.lIIed as a 18] lilCtlJre filing. <br />14. Description 01 real ..tate: <br /> <br /> <br />al'rOl<tracted 16. Additional eola!eral d.scriptbn: <br /> <br />N 1/2 OF NE 1/4 SEC. 20 T-10, R-12, HALL COUNTY, NE <br /> <br />15. N.m& and .ddt'&.. of a RECORD OWNER olllbove.'deaeribed real eslat& <br />(if D.blOl does not have a record in!eresi): <br /> <br />DONALD F. & DONNA L. MOSS <br /> <br />17. Chl1<>k llIlb: II'ppllcable and ChOlek ~ on. box. <br />DEibtor Ie . Trust.. acting V>i\ll roepeet to property h.ld in trust or Decedent's Estate <br />18. CI,,,,,k m ihpplicabl" and chOlCkQ!l1y on" box <br />D&btor is . TRANSMITTING UTIli'! Y <br />Filed in ""n""cfion with II Mllnutactull!l<i.Hom" TrMsactiOll - .1IeetiVlJ 30 y$ers <br />Filed in ""nnection with. Publlc.finance TransactiOll - &lfective 30 yes," <br /> <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122102) <br />