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UCC FINANCING STATEMENT ADDENDUM <br />9. NAME OF FIRST DEBTOR (1a or lb) ON RELATED FINANCING STATEMENT <br />9a ORGANIZATION'S NAME <br />OR <br />96. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFUC <br />KIESLING VERNA <br />10. MISCELLANEOUS: <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert <br />11 a. ORGANIZATION'S NAME <br />200501043 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />name (11 a or 11 b) • do not abbreviate or combine names <br />UH <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11 c. MAILING ADDRESS <br />CITY <br />STATE <br />P <br />COUNTRY <br />11 d SEEINSTRUCTIONS <br />ADD'L INFO RE Ile. TYPE OF ORGANIZATION <br />llf. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I I <br />I <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S gT U ASSIGNORS /P'S <br />NAME - insert only grg name (12aor12b) <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 />CRY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers timber to be cut or U as- extracted <br />16. Additional collateral description: <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate* <br />NE 1/4 SEC 23, T 9, R 10, HALL COUNTY, NE <br />15. Name and address of a RECORD OWNER of above- described real estate <br />(if Debtor does not have a record interest): <br />VERNA KIESLING <br />17. Check Q* if applicable and check gnly one box <br />Debtor is a nTrust or Trustee acting with respect to property held in trust or n Decedent's <br />Estate <br />18. Check g)uy if applicable and check Qdy one box. <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 30 years <br />FILING OFFICE COPY— UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22102) <br />T <br />