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.� <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 />Be. OROANIZATION'S NAME <br />OR <br />9b. INDNIDUAL'S LAST NAME FIRST NAME MIDDLE NAME,SUFI <br />CLAMPITT DAVID RAYMOND <br />10. MISCELLANEOUS: <br />2o�io���� <br />� THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR EXACT FULI: LEGAL NAME - insert only p� name (1 or 11 b) - do not ebbreviata or combine names <br />11a. ORGANIZATION'S NAME <br />OR 11b.INDMDUAL'SLASTNAME FIRST <br />11 c. MAILING ADDRESS CITY <br />11d. SEE INSTRUCTIONS ADD'L INFO RE tte. TYPE OF ORGANIZATION 11f. Jl <br />ORGANIZATION <br />DEBTOR <br />12. ADDITIONAL SECURED PARTY'S � ASSIGNOR S/P'S NAN <br />12a. ORGANIZATION'S NAME <br />OR-- -�----.....— ---- - <br />13. This FINANCING STATEMENT covers � Umber to be cut or � as-exVacted 16. AddiBonat collateral descrlpt(on: <br />collateral, or is flled as a� flxture filing. <br />14. Descriptlon of real estete: <br />SEE ATTACHED LEGAL <br />15. Name and address of a RECORD OWNER of above-described real estate <br />(tt Debtor does not have e record Interest): <br />POSTALCODE <br />eny <br />NONE <br />17. Chedc Qp�y If applicabte and chedc gp�y ona bo�c <br />Debtor Ia a Trust or Truetee ecting with resped to property held in Wst or DecedenYs Eatate <br />18. Chedc gp�y'rf applicable and check ¢nly one box. <br />Debtor te a TRANSMITTING UTILIN <br />F(led in connecUon with a Manufectured-Home Transactfon <br />FOed in connectlon with a Public-Finance TransecUon <br />Intemational Association of Commercial AdminisUators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09) <br />