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200906276
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Last modified
7/30/2009 3:23:58 PM
Creation date
7/30/2009 3:23:58 PM
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DEEDS
Inst Number
200906276
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200906276 <br />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 <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFFIX <br />SEIM SHANE T <br />10. MISCELLANEOUS <br />7 9589588-N E-557 <br />19877 AQUA FINANCE, <br />File with; CC NE Hall County Register of Deeds, NE S000133702 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXAC7 FULL LEGAL NAME -insert only one name (11a or 11b) - do not abbreviate or combine names <br />11 a. ORGANIZATION'S NAME <br />OR <br />11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />11d. SEE INSTRUCTION pp'L INFO RE 11e. TYPE OF ORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />RGANIZATION <br />EBTOR ~ NONE <br />1z. U ADDITIONAL SECURED PARTY'S or U ASSIGNOR S/P's NAME -insert only Qng name (12a or 12b) <br />12a. ORGANIZATION'$ NAME <br />urt 12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />13. This FINANCING STATEMENT covers ~ timber tp be cut or ~ as-extracted 18. Additional collateral description: <br />collateral or is filed as a ~ fixture filing. <br />74, pescription of real estate: <br />Description: WINDOLPH ADD LT 4 BLK 7 APN <br />400139847 ALT APN 3315-00-0-16110-007-0004 SUED <br />WINpOLPH ADD MUNIC\TWNSHP GRAND ISLAND 2 <br />CENSUS TRACT\BLOCK 9.00/2 LEGAL LOT 4 LEGAL <br />BLOCK 7 <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest): <br /> 17. Check gplyrf applicable and check only one box. <br /> Debtor is a^Trust or ^Trustee acting with respect to progeny held in trust or^ Decedent's Estate <br /> 18. Check o~(d applicable end check gply One box. <br /> Debtor is a TRANSMITTING UTILITY <br /> Filed in connection with aManufactured-Noma Transaction -- effective 30 years <br />.. Filed in connection with aPublic-Finencs Transaction -effective 30 years <br />FILING OFFICE COPY -NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCG1Ad) (REV. 05l22/D2) <br />Prepared by UCC-Direct Services, Inc., P.O. Box 29071 <br />Glendale, CA 9120&8071 Tel (800) 331-3282 <br />
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