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<br />~'-! <br /> <br />-- <br /> <br />200902464 <br /> <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and baok) CAREFULLY <br />9. NAME OF FIRST DEBTOR (la or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR CHIEF INDUSTRIES, INC. <br /> 9b, INDIVIDUAL'S lAST NAME r'RST NAME tlDDlE 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 onlYllM name (11aor 11b) -do not abbreviate or combine names <br /> <br /> 11a. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />110. MAILING ADDRESS CITY STATE IPOSTAlCODE COUNTRY <br />11d. SEE INSTRUCTIONS IADD'l INFO RE 111e, TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 119. ORGANIZATIONAL ID #. il any <br /> ORGANIZATION I nNONE <br /> DEBTOR I I <br />12. I ADDITIONAL SECURED PARTY'S llf 0 ASSIGNOR SIP'S NAME. Insel1 only ~ name (12a or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR <br /> 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY <br />13. This FINANCING STATEMENT covers D timber to be cut or D as-extracted 16. Additional collateral description: <br /> collateral, Or is filed as a 0 fixture filing. <br />14, Description of real estate: <br />1721 Raymond Drive, Grand Island, NE, legally <br />described as: <br />Lots 40, 41, 42, 43, Reutings 2nd Subdivision, Hall <br />County, Grand Island, Nebraska <br />15. Name and address of a RECORD OWNER of above-<iescribed real estate <br /> (if Debtor does not have a record interest): <br />Chief Industries, Inc. <br />P.O. Box 2078 17. Check ~ if applicable and check ~ one box_ <br />Grand Island, NE 68803 Debtor is a n Trust or n Trustee acting with respect to property held in trust or n Decedent's Estate <br /> 18. Check 2Iili ~ applicable and check 2Iili one box. <br /> B Debtor is a TRANSMITTING UTILITY <br /> Filed in connection with a Manufactured-Home Transaction - effective 30 years <br /> n 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 />