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m <br />~ ~ <br /> ' c ~ <br />IVY ~~ ~ ~~ ~ ~ <br />~ <br />- rn <br />~ ~ ~ © v <br />wrr^ c <br />7 ~ <br /> =INANCING STATEMENT AMENDMENT ~ ~ ° ~ "~ ~ <br />I;.n) 'INSTRUCTIONS front and back CAREFULLY ~ ~~ ~ rr), C~ ~ <br />~ <br />~ <br /> <br />- ° 8 PHONE OF CONTACT A7 FILER [optional] m ~ x' ~ <br />r~ ~_ t~ - <br />.~ <br /> <br />EN M VIETH 308-382-3136 <br />~ r... ~ f_._r, ~ <br />~ <br />~~ I ACKNOWLEDGMENT TO: (Name and Address) t._ ~ ~ <br /> <br />r~r^ EQUITA LE SANK ~ ~ ,.~ ~ <br /> PO SOX 160 ~ Q <br />- --.~---- GRAND ISLAND NE 6$$02-0160 W~...~ <br /> <br />1a. INITIAL FINANCING STATEMENT FILE # <br />200803623 APRIL 30, 2008 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />16. This FINANCING STATEMENT AMENDM <br />Yy~Y~ to ba filed [for record] (or retarded) in the <br />IA1 AFA1 FCTATF AF(`(1R r1C <br />~~~~ <br />2. TERMINATION: Effectiveness of the Financing Statement identified shove is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement. <br />3. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security Interest(s) of the Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law. <br />4. ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee m nem /c: and also give name or assignor in item a. <br />5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor gr Secured Party of record. Check only one of these two boxes. <br />Also check gft~ of the following three boxes gpQ provide appropriate information in items 6 and/vr 7, <br />CHANGEnameandlvraddress: Please refertothedetailed instructions DELETE name: Give record name App name: Complete item 7a or7b,and alsoitem 7c; <br />in re ardstochan in the name/addressofa a to pe deleted in item Ba or 66. alsocom leteitems7e-7 ifs licable . <br />6, CURRENT RECORD INFORMATION: <br />6a. ORGANIZATION'S NAME <br />OR Bb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />JACOBSON GARY R <br />7. CHANGED (NEW) OR ADDEp INFORMATION; <br />OR 76 INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />7c. MAILING ADDRESS ~ CITY ~ STATE ~ POSTAL CODE GOUNTRY <br />7d. SEE INSTRUCTIONS ADD'L INFO RE 17e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />pEBTOR NONE <br />8. AMENDMENT (COLLATERAL CHANGE): chock onlyypg box. <br />- Describe collateral ^deleted or ~ added, or give entire ^restated collateral description, or describe collateral assigned. <br />9. NAME OP SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor which <br />adds collateral or adds the authorizing Debtor, or if this is a Terminatlon authorized by a Debtor, check here and enter name of pEBTOR authorizing this Amendment, <br />9a. ORGANIZATION'S NAME <br />oR ~ EQUITABLE BANK <br />96. INDIVIDUAL'S LAST NAME <br />SUFFIX <br />10.OPTIONAL FILER REFERENCE DATA <br />$72056911 <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY - UCC FINANCING STATEMENT AMENDMENT (FORM UGG3) (REV. 05/22102) <br />