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<br /> <br /> 71v [ 7 c7 _ <br /> <br /> C1 Z..f1 0 <br /> m <br /> a 14P C=) v <br /> ;K M <br /> C:k tin <br /> INANCING STATEMENT I I a t <br /> C~ INSTRUCTIONS front and back CAREFULLY (A cn <br /> UI d. PHONE OF CONTACT AT FILER foptionall <br /> (SERVICING 800-775-8015 <br /> ACKNOWLEDGMENT TO: (Name and Address) <br /> FIRST &UTUAEL. BANK p <br /> PO BOX 1647 <br /> 200903165 <br /> BELLEVUE WA 98009.1647 <br /> L J <br /> THE ABOVE SPACE 1$ FOR FILING OFFICE USE ONLY <br /> 1. DEBTOR'S EXACT FULL LEGAL NAME • Insert only pea debtor name (1a or 1b) - do not abbrovlals or combine names <br /> is. R I ION' NAME <br /> OR 1b. INDIVIDU 'S LAST NAM FIRST NA MIDDLE NAM SUFFI <br /> MCDONALD JERI <br /> 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 2209 W PHOENIX AVE GRAND ISLAND NE 68803 US <br /> 1d. TAX ID SSN OR EIN ADD-L INFO RE 1q. TYPE OF RGANI TION 10U I DI TI N OF 0 AN TION /p. ORGANIZATION 16#7 If any <br /> ORGANIZATION <br /> DEBTOR NONE <br /> 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - Insert only pap debtor name (2a or 2b) • do not abbreviate or combine names <br /> 2a. ORGANIZATION'S NAME <br /> OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAM SUFFIX <br /> 2c. MAILING ADDRESS CITY STATE POSTAL DE COUNTRY <br /> 2d. TAX ID SSN OR EIN JA12e. PE P OR ANIZA ION 2f. JURISDICTION F ORGANIZATION 2p. ORGANIZATIONAL ID If any <br /> ORGANIZATION <br /> DEBTOR NONE <br /> 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only aas secured party name (3e or 3b) <br /> 3a. ORGANIZATION'S NAME FIRST MUTUAL BANK <br /> ^a <br /> OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME- SUFFIX <br /> 3c. MAILING ADDRESS CITY STATE 1POSTAL CODE COUNTRY <br /> PO BOX 1647 BELLEVUE WA 98009-1647 US <br /> 4. This FINANCING STATEMENT cows the followlnc collateral: <br /> SIDING /WINDOWS .Qf <br /> PARCEL ID: -4", {D(o - N'G <br /> LEGAL: LOT THREE (3), BLOCK EIGHT (8), PARKHILL SECOND SUBDIVISION, CITY OF GRAND ISLAND, HALL <br /> COUNTY, NEBRASKA <br /> SITUATE IN THE COUNTY OF HALL, STATE OF NEBRASKA <br /> ADDRESS: 2209 W PHOENIX AVE, GRAND ISLAND, NE 68803 <br /> <br /> 5. ALTERNATIVE DESIGON If a Iicable] LESSEE/LESSOR CONSIGNEE/CONSIGNOR BAILEE/SAILOR SELLER/BUYeR JAG. LIEN NON•UCC FILING <br /> NATI s e e o All Debtors Debtor 1 ebtor 2 <br /> g OP <br /> , TIONAL FIL REFERENCE DATA Y49 <br /> MCDONALD J 52 126790 02 410 /Ilk <br /> FILING OFFICE COPY- NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br />