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200500915 <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 INDUSTRIAL AND MAINTENANCE SERVICES, INC. <br />9b. INDIVIDUAL'S LAST NAME I FIRST NAME IMIDDLE NAME, <br />10. MISCELLANEOUS: <br />I THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (1 la or 11 b) - do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br />Financial Harland <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) 00 S.W.6th Avenue, Portland, Oregon 97204 <br />11 b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />FISCHER <br />JANE <br />A <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />409 TEAKWOOD CIRCLE <br />GRAND ISLAND <br />NE <br />1 68803 -3136 <br />USA <br />11 d. SEE INSTRUCTIONS <br />D'L INFO RE 11 e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any <br />GANIZATION IndiV'tdUal <br />[DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S or ASSIGNOR S /P'S <br />NAME - insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or 11 as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />LOT TEN (10), WESTGATE SIXTH SUBDIVISION IN THE <br />CITY OF GRAND ISLAND, HALL COUNTY, 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 />KEITH A FISCHER <br />409 TEAKWOOD CIRCLE <br />17. Check only if applicable and check only one box. <br />GRAND ISLAND, NE 68803 -3136 <br />JANE A FISCHER <br />Debtor is a Trust or n Trustee acting with respect to property held in trust or F1 <br />Decedent's Estate <br />409 TEAKWOOD CIRCLE <br />18. Check only if applicable and check only one box. <br />GRAND ISLAND, NE 68803 -3136 <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured -Home Transaction - effective 30 years <br />Filed in connection with a Public- Finance Transaction - effective for 30 years <br />Financial Harland <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02) 00 S.W.6th Avenue, Portland, Oregon 97204 <br />