201006330 - Laserfiche WebLink

Browse

2oioos3~o UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front^nd back) CAREFULLY _ _ ~9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR 9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE DOnovan 10. MISCELLANEOUS: THE ABOVE SPACE IS FOR FILING OFFICE USH ONLY 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only sri~ name (11a or 11 b) - do not abbreviate or combine names 11 a. ORGANIZATION'S NAME UK 1 ib. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX Donovan Colleen M iic. MAILING ADDRESS CITY STATE POSTAL GOOE COUNTRY 3112 Kenned Circle Grand Island NE 68803 USA 1 id. SEEINSTRLJCTIONS ADD'L INFO RE 11 e. TYPE OF ORGANIZATION 11f. JURISDICTION pF ORGANIZATION 11 g, ORGANIZATIONAL ID #, if any ORGANIZATION DEBTOR NONE 12. ADDITIONAL SECURED PARTY'S ~ ASSIGNOR 5/P'S NAME-insert only onename(12aor12b) 12a. ORGANIZATION'S NAME OR 126. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 13. This FINANCING STATEMENT covers timber to be cut or as-extracted 16. Additional collateral description. collateral, or is filed as a ~ fixture filing. 14. Despription pf real estate: Lot One (l), Bachman and Lester second subdivision, an addition to the City of Grand Island, Hall County, Nebraska. 15. Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a retard interest): 17. Check pp)y if applicable and check Qply one box. Debtor is a Trust or Trustaa acting with respect to property held in trust or Decedents Estate 18. Check 4C11y if applicable and check gay one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufaotured-Home T ransaction -- aNactive 30 years Filed in cgnnectipn with a Publio-Finance Transaction -affective 3U years FILING OFFICE COPY - UGG FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 17 512 2 /0 2)