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FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front andback) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />� � 9b. IND�VIDUAL'S LAST NAME �� � FIRST NAME � � D <br />`' MONTELONGO MARTIN <br />' 10. MISCELLANEOUS <br />2�'018814-NE-79 <br />201104735 <br />NAME,SUFFIX <br />10656 PRIME ACCEPTAN <br />File with: CC NE Hall, NE 620151746 <br />tHE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one name (11 a or 11 b) -do not abbreviate or combine names �"` <br />� 11a. ORGANIZATION'S NAME � � � � � � � � � � � � � <br />OR <br />� 11b. INDIVIDUAL'S LASTNAME � � � . FIRST NAME � MIDDLE NAME � . SUFFIX � <br />11c. MAILWG ADDRESS CITY STATE POSTAL CODE COUNTRY <br />11d. SEE INSTRUCTION . DD'L INFO RE 11e. TYPE OF ORGANIZATION . �11f. JURISDICTION-OF ORGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />� RGANIZATION � � � � � � � � <br />DEBTOR � NONE <br />�2 ❑ ADDITIONP,L SECURED PARTY'S or ❑ ASSIGNOR S/P's NAME - insert only one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or �❑ as-extracted <br />collateral or is filed as a� � fixture filing. �� . � . � <br />14. Description of real estate: � �. <br />Description: NORTHWEST SUB LT 3 LEGAL LOT: 3 APN: <br />400159090 SUBDIVISION: NORTHWEST <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(if Debtor does not have a record interest): <br />'�� 1 I. Gheck o� if applicable and check o� one box. � �� <br />Debtor is a� Trust or � Trustee acting with respect to property held in trust or � DecedenYS Estate <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09) <br />16. Additional collateral description: � <br />18. Check onlv if applicable and check�onlv one box. <br />] Debtor is a TRANSMITTING UTILITY <br />] Filed in�connection with a Manufactured-Home Transaction <br />] Filed in connection with a�Publio-Finance Transaction <br />Glendale, CA 97209-9071 Tel (800) 331-3282 <br />