201107533 - Laserfiche WebLink

Browse

UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY OR I Nebraska Association for Developmental Housing 9b. INDIVIDUAL'S LAST NAME I FIRST NAME I MIDDLE NAME, SUFFIX 11. ADDITIONAL DEB 11a. ORGANIZA OR 201107533 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY EXACT FULL LEGAL NAME — insert only one name (11 a or 11 b) — do not abbreviate or combine names UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09) 11b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 11c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 11d. SEE INSTRUCTIONS ADD'L INFO RE 1le. TYPE OFORGANIZATION 11f. JURISDICTION OF ORGANIZATION 11 g. ORGANIZATIONAL ID #, if any ORGANIZATION 1:1 NONE DEBTOR 12. ❑X ADDITIONAL SECURED PARTY'S or ASSIGNOR S /P'S NAME — insert only one name (12a or 12b) 12a. ORGANIZATION'S NAME OR Secretary of Housing and Urban Development 12b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 1616 Capitol Avenue, Suite 329 Omaha NE 68102 -4908 13. This FINANCING STATEMENT covers n timberto be cutor ❑ es-extracted 18. Additional collateral description: See Exhibit B for a description of the collateral. collateral, or is filed as a X] fixture filing. 14. Description of real estate: See Exhibit A attached hereto for a description of the real estate to which certain of the collateral relates. Project Name: MNIS Project No.: 103 - 11045 -NP -REF 15. Name and address of a RECORD OWNER of above - described real estate (if Debtor does not have a record interest): 17. Check only if applicable and check only one box. Debtor is a ❑ Trust or 1:1 Trustee acting with respect to property held in trust or Decedent's Estate 18. Check only if applicable and check only one box.. ❑ Debtor is a TRANSMITTING UTILITY ❑ Filed in connection with a Manufactured -Home Transaction ❑ Filed in connection with a Public- Finance Transaction UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/21/09)