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UCC FINANCING STATEMENTADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT <br />OR <br />Panowicz <br />10. MISCELLANEOUS: <br />FIRST NAME <br />Michael <br />A <br />NAME, <br />201107443 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert <br />NAME <br />name (11 a or 11b) - do not abbreviate or combine names <br />OR <br />11b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />11d. SEE INSTRUCTIONS <br />ADD'L INFO RE 11 11e. TYPE OF ORGANIZATION <br />11f. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID if any <br />ORGANIZATION <br />DEBTOR <br />NONE <br />12. <br />ADDITIONAL SECURED PARTY'S or ASSIGNOR S/P'S NAME - insertonly one name (12a or 12b) <br />12a. ORGANIZATION'S NAME <br />OR <br />12b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />SUFFIX <br />12c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />13. This FINANCING STATEMENT covers ❑ timber to be cut or 11 as-extracted <br />16. Additional collateral description: <br />collateral, or is filed as a ® fixture filing. <br />14. Description of real estate: <br />South Half (S112) of the North West Quarter (NW1/4) and <br />the North Half (N1/2) of the South West Quarter (SW1/4) <br />Section 11 (11), Township Twelve (12) North, Range Eleven <br />(11) West of the 6th P.M., in Hall County, Nebraska <br />15. Name and address of a RECORD OWNER of above-described real estate (if <br />Debtor does not have a record interest): <br />17. Check only if applicable and check only one box. <br />Debtor is a Trust or Trustee acting with respect to property held in trust or <br />Decedent's Estate <br />18. Check only if applicable and check only one box. <br />Debtor is a TRANSMITTING UTILITY <br />Filed in connection with a Manufactured-Home Transaction <br />Filed in connection with a Public-Finance Transaction <br />Harland Financial Solutions <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09) 400 S.W. 6th Avenue, Portland, Oregon 97204 <br />