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201006708
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Last modified
9/16/2010 4:46:25 PM
Creation date
9/16/2010 4:46:25 PM
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DEEDS
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201006708
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' " <br />2oioos7os <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME pF FIRST DEBTQR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAM <br />HADENFELDT JAMIE ALLEN <br />10. MISCELLANEOUS: <br />THE ABQVE SPACE I5 FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -Insert only aue name (1 to or 11 b) - do not abbreviate or combine names <br />11 a. ORGANIZATION'S NAME <br />urc 11b INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11c. MAILING ADDRESS CITY STATE POSTAL COPE COUNTRY <br />11d. SEE INSTRUCTIONS ADD'L INFO RE 11e. TYPE OF ORGANIZATION it(. JURISDICTION OF ORGANIZATION 11 g, pRGANIZATIpNAL ID #, if any <br />ORGANIZATION <br />DEBTOR NONE <br />12. ADDITIONAL SECURED PARTY'S si ASSIGNOR 5/P'S NAME -insert only one Hama (12a or 126) <br /> <br />OR 12a. ORGANIZATION'S NAME <br /> 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 I I timber to pe cut or I I as-extracted I16. Additional collateral descrlplion: <br />collateral, or is filed as a ®fixture filing. LJ <br />1 Q. Description of real estate: <br />W1/2NW1/4 5-11-12, HALL COUNTY <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if ^eptor does Hat have a record interest): <br />17. Check ~p(y if applicable and check 4n11C one box. <br />Debtor is a I I Trust or~ Trustee acting with respect to property held in trust pr~ pecedant's Estate <br />no <br />18. Check ppjy if applicable and check 4171X one bqx. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with aManufactured-Name Transaction <br />Filed in connection with a Public-Finance Transaction <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY ---UCC FINANCING STATEMENT ADDENpUM (FORM UCC1Ad) (REV. 05/21109) <br />
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