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<br />.. <br /> <br />200902465 <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 IFIRST 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 l2Ill: name (11a or 11b). do nOl abbreviate or combine names <br /> <br /> 11 a. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAl'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11 d. SEE INSTRUCTIONS (DD'l INFO RE 111e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 119. ORGANIZATIONAL 10#, if any <br /> ORGANIZATION I n NONE <br /> DEBTOR 1 I <br />12, 1 ADDITIONAL SECURED PARTY'S Ql [J ASSIGNOR SIP'S NAME - insert only 2!ll!. name (12a or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE IPOSTAlCODE COUNTRY <br />13, This FINANCING STATEMENT cove"'..D timber to be cut or 0 as-extracted 16, Additional COllateral description: <br /> collateral, or IS filed as a 0 fixture filing. <br />14, Description of real estate' <br />1808 Raymond Drive, Grand Island, NE, legally <br />described as: <br />Lots 44, 45, 46, 47, 48, 49 and 50, Reutings 2nd <br />Subdivision, Hall County, Grand Island, Nebraska <br />15_ Name and address of a RECORD OWNER of above-described real estate <br /> (if Debtor does not have a record interest): <br />Chieflndustries, loc. <br />P.O. Box 2078 17. Check llIIll' if applicable and check llIIll' one box. <br />Grand Island, NE 68803 Debtor is anT rust Or n Trustee acting with respect to property held in trust or n Decedent's Estate <br /> 18. Check llIIll' if applicable and check llIIll' one box. <br /> B Debtor is a TRANSMITTING UTILITY <br /> Filed in conn@ction 'Nith a Manufactured-Home Transaction - effective 30 years <br /> [1 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 />