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200902463
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4/3/2009 4:10:57 PM
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4/3/2009 4:10:57 PM
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200902463
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<br />.. <br /> <br />200902463 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS (front and back) CAREFUllY <br />9, NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR CHIEF INDUSTRIES, INC. <br /> 9b. INDIVIDUAL'S lAST NAME rRST NAME riDDLE NAME,SUFFIX <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 = name (11a or 11b) - do not abbreviate or combine names <br />11a. 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 />110. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE <br /> <br /> <br />COUNTRY <br /> <br />11 d. SEE INSTRUCTIONS <br /> <br /> <br />11 e. TYPE OF ORGANIZATION <br /> <br />111. JURISDICTION OF ORGANIZATION <br /> <br />119.0RGA IZATIONAl 10#, if any <br /> <br />NONE <br /> <br />12, <br /> <br />ASSIGNOR SIP'S NAME - insert only = nam.. (12a or 12b) <br /> <br />OR <br />12b. INDIVIDUAL'S lAST NAME <br /> <br />FIRST NAME <br /> <br />MiDDLE NAME <br /> <br />SUFFIX <br /> <br />12c. MAiliNG ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />13, This FINANCING STATEMENT covers <br /> <br />collateral, or is filed as a ~ fixture filing. <br />14, Description of real estate: <br /> <br /> <br />as-..xlracted 16. Addiijonal collateral description: <br /> <br />]] 19 South Adams, Grand Island, NE, legally <br />described as: <br /> <br />Tract of land SW % NE Yo Sect 21, Twp 11 N, Rng 9, <br />W of 6th PM, Hall County, Grand Island, Nebraska. <br />Now chief Fab Subdivision Lots 1 and 2. <br /> <br />15. Name and addr..ss of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest): <br /> <br />Chief Industries, Inc. <br />P.O. Box 2078 <br />Grand Island, NE 68803 <br /> <br />17. Check Q!1Jl<: ij applicabl.. and ch@ck Q!1Jl<: on.. box. <br /> <br />Debtor is a <br /> <br /> <br />Trustee acting with respect to property held in trust or <br /> <br />Decedent's Estate <br /> <br />18, Check Q!1Jl<: ij applicable and check Q!1Jl<: one box. <br />a Debtor is a TRANSMITTING UTiliTY <br />Fil..d in connection with a Manufactured.Home Transaction - effective 30 years <br />Filed in connection with a Public.Finance Transaction - effective 30 years <br /> <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV, OS/22/02) <br />
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