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<br />200903737 <br /> <br />.. <br />, <br /> <br />FINANCING STATEMENT ADDENDUM <br />FOllOW INSTRUCTIONS (front and back) CARE FUll Y <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br /> 9a. ORGANIZATION'S NAME <br />OR <br /> 9b. INDIVIDUAL'S LAST NAME rlRST NAME I~DDlE NAME,SUFFIX <br /> LABELLE NORA <br />10. MISCELLANEOUS <br />18676535-NE-79 <br />19877 AQUA FINANCE, <br />File with: CC NE Hall, NE 19877 SOO0707675 <br /> THE ABOVE SPACE IS FOR FiliNG OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - insert only 0!l!L name (11a or 11b) - do not abbreviate or combine names <br /> <br />i <br />... <br /> <br /> 11 a. ORGANIZATION'S NAME <br />OR <br /> 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />11d. SEE INSTRUCTION ~rD'l INFO RE r 1e. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL 10 #, if any <br /> RGANIZATION D NONE <br /> EBTOR <br /> <br />12. D ADDITIONAL SECURED PARTY'S or 0 ASSIGNOR SIP's NAME -Insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br /> <br />OR 12b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />12c. MAILING ADDRESS CITY <br /> <br />STATE I POSTAL CODE <br /> <br />COUNTRY <br /> <br />-- <br />= <br /> <br />- <br />- <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br /> <br />13. This FINANCING STATEMENT covers 0 timber to be cuI or 0 as-extracted 16. Additional collateral description: <br />collateral or Is flied as a ~ fixture filing. <br /> <br />14. Description of real estate: <br /> <br />Description: PACKER & BARR'S ADD L T 10 BLK 12 APN <br />400069679 AL T APN 3315-00-0-13660-012-0010 SUBD <br />PACKERS & BARRS ADD MUNIC\TWNSHP GRAND <br />ISLAND 2 CENSUS TRACnBLOCK 7,00/2 LEGAL LOT 10 <br />LEGAL BLOCK 12 <br /> <br />- <br /> <br />- <br />= <br />- <br />- <br />- <br /> <br />- <br />- <br /> <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest): <br /> <br />- <br />- <br />-- <br />- <br /> <br />- <br />- <br /> <br />17. Check llDbL if applicable and check Q!1!'i. one box. <br />Debtor is aOnust or o Trustee acting with respect to property held in trust <br />18. Check ll!!!x if applicable and check !1!!OC one box. <br />o Debtor is a TRANSMITTING UTILITY <br />o Flied in connection with a Manufactured-Home Transaction -- effective 30 years <br />n Flied In connection with a Public-Finance Transaction -- effective 30 years <br /> <br />or 0 Decedent's Estate <br /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) <br /> <br />Prepared by CT LIen Solutions, P.O. Box 29071 <br />Glendale, CA 91209-9071 Tel (800) 331-3282 <br />