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r <br />R <br /> <br />2ooyo~3~~ <br />UCC FINANCING STATEMENT ADDENDUM <br />9. NAME OF FIRST DEBTOR (1a or 1b) AN RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAI <br />METTI;NBRINK JOEL MARO <br />10. MISCELLANEOUS: <br />'""" THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only Qpg name (11 a or 11 b) - do not abbreviate or combine names <br />11 a. ORGANIZATION'S <br />OR 11 b. INDIVIDUAL'S LA57 NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c. MAILING ADDRESS CfTY STATE POSTAL CODE COUNTRY <br />11d. $,F.E INSTRUCTIONS ADD'L INFO RE 11 e. TYPE DF ORGANIZATION t 1f. JURISDICTION DF ORGANIZATION 11 g. ORGANIZATIONAL Ip #, if any <br />ORGANIZATION NONE <br />DEBTOR <br />12. ADDITIONAL SECURED PARTY'S ASSIGNORS/P'S NAME-insert onlyQpp,nama12aor12b) <br /> 12a. ORGANIZATION'S NAME <br />OR 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 to be cut or as-extracted 16. Additional collateral description: <br />collateral, or is Tiled as a ®fixtura filing. <br />14. Description oT real estate: <br />Parcel l: The Southwest Quarter (SWl/4) of Section <br />Three (3), in Township Eleven (11) North, Range Ten <br />(10) West of the 6th P.M., Hall County, Nebraska; <br />EXCEPT Lot One (1), North Fork West Subdivision, <br />Hall County, Nebraska; EXCEPT Lots One (1) and <br />Two (2), North Fork Second Subdivision, Hall County, <br />Nebraska; EXCEPT a tract more particularly <br />described in Warranty Deed recorded as Document <br />No. 200903420 <br />Parcel 2: Lot One (1), North Fork West Subdivision, <br />Hall County, Nebraska <br />15. Name and address of a RECORD OWNER ofabove-described real estate <br />(if Debtor does not have a record interest): <br /> 17. Check Q,pllf rf applicable and check Q~t one box. <br /> Debtor is a Trust ar Trustee acting with respect to property held in trust or Decedent's Estate <br /> 18. Check 9DlY if applicable and check 9llIY one box. <br /> Debtor is a TRANSMITTING UTILITY <br /> Filed in connactien with aManufactur~d-Home Transaction -effective 30 years <br /> Filed in connection with aPublic-Finance Transaction -effective 30 years <br />FILING OFFICE COPY -UCC FINANCING STATEMENT ADDENDUM (FORM UGC1Ad) (REV. D5l22I02) <br />