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2 ��i02�49 <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAL'S LAST NAME FIRST NAME MII <br />GUNDERSON CAROL J <br />10. MISCELLANEOUS: <br />11. ADDITIONAL DEBTOR'S EXACT FULL IEGAL NAME - insert <br />11a. ORGANIZATION'S NAME . <br />� 71b.INDIVIDUAC <br />t1c. <br />� THE ABOVE SPACE (S FOR FILING OFFICE USE ONLY <br />name (11a or 11b) - do not abbreviate or combine names � <br />NAME <br />11d. SEE INSTRUCTIONS ADD'L �NFO RE I 11e. 1YPE OF ORGANIZATION I 11t. JURISDICTION OF <br />ORGANIZATlON <br />DEBTOR <br />12. ADDITIONAL SECURED PARTY'S s� ASSIGNOR S/P'S NAME - insert on�yQ[ <br />12a. ORGANIZATION'S NAME <br />OR �Zb. INDIVIDUAL'S LAST NAME FIRST NAME <br />12c. MAILING ADDRESS CITY <br />MIDDLE NAME <br />STATE POSTALCODE <br />�RGANIZATION 11g. ORGANIZATIONAL ID #, if any <br />� <br />name (72a or 12b) <br />MiDDLE NAME <br />13. This FINANGING STATEMENT covers I l timber to be cul or � as-extracled 16. Additional cdlateral descripUon: <br />u <br />collateral, or is filed as a❑ fixture filing. � � <br />14. Description of real estate: � � � <br />ONE DWELLING HOUSE WITH AUXILIARY <br />BUILDINGS, TOGETHER WITH ALL FIXTURES <br />'1�'�Edt�'i'Q, �.O�AT'EID AT 29 K€;: STER LAY�E, <br />GRAND ISLAND, NEBRASKA, UPON LEASED <br />GROUND DESCRIBED AS FOLLOWS: <br />LOT 3, SITUATED ON THE PIORTH SIDE OF THE <br />EAST PORTION OF KUESTER'S LAKE AND <br />BEING ON A PART OF THE El/2 SWl/4 OF <br />SECTION 13, TOWNSHIP 11 NORTH, RANGE 9 <br />WEST OF THE 6TH P.M., HALL COUNTY, <br />NEBRASKA. p <br />15. Name and address of a RECARD OWNER of above-described real estate <br />(if Debtor does not have a record inleresQ: <br />� � - 17. Cbeck �nly if applicable and check �nly ona box. <br />Deblor is a Trust or Trustee acting with respect lo property held in trust <br />18. Check 491y tf applicable and check pnly one boz. <br />Debiw Is a TRANSMITfING UTILITY <br />Filed in connection wifh a Manufadured-Home Transaclian <br />� Filed in connection wilh a Publio-Finance Transaclion <br />International Association of Commercie <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09) <br />DecetlenPs Estate <br />