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� -, <br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and backj CAREFULLY <br />9. NAME OF FIRST DEBTOR (1a or �b) ON RELATED FINANCING STATEMENT <br />9a. ORGANIZATION'S NAME <br />OR <br />9b. INDIVIDUAI'S LAST NAME FIRST NAME MIDOLE NAMi <br />RAINFORTH GAYLEN DUANE <br />10. MISCELLANEOUS: <br />2oi�os44� <br />THE ABOVE SPACE IS fOR FILING OPFICE USE ONLY <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - inseM1 onty gp� name (11a or 11 b) - do not abbreviate or combine names <br />11a. ORGANIZATION'S NAME <br />OR ��b. INDIVIDUAL'S LAST NAME FIRST NAME 1 <br />. 11c.MAILINGADDRESS . . C�7y <br />11d. SEE INSTRUCTIONS ADD'L INFO RE 11e. TYPE OF ORGANIZATION 11E JURISDtCT10N OF ORGANlZATION � 1 <br />ORGANIZATION <br />DEBTOR <br />12. ADDRtONAI SECURED PARTY'S � ASSIGNOR S/P'S NAME - insert only�e 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. DescripGon of real estate: � � <br />LOT ONE (1), RAINFORTH ACRES <br />SUBDNISION, HALL COUNTY <br />15. Name and address of a RECORD OWNER of abnve-described real estate <br />(if Debtor does not have a record interest): � � � <br />� � .. � 17. Chedc Qp�y H applicable and chedc 4ply one box. .. � � � <br />Debtor is a Trust or Trustee scting with respect to property held in frust or DecetlenPs Estate <br />� � � � � � � � . 18�. Chedc Qp�y 'rf applicable and cF�edc pp�y one box. �� � � � . <br />� . . . � � Debto�isa TRANSMITfING UTILITY � � <br />� � � � . � Filed in connection with a Manufactured-Home Transaction <br />� � - Filed in connection with a PubliaFinance Traosaction � � <br />tntemational Assoc+ation of Commercial Administrators {IACA) <br />FIUNG OFFtCE COPY UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) {REV. 05/21/09) <br />�� <br />� � � <br />16. Addi6onal collateral description: � . <br />THIS IS A FIXTURE FILING SPECIFICALLY COVERING A 30' <br />MFS DRYING BIN, AND ALL RELATED EQUIPMENT AND <br />ACCESSORIES LOCATED ON THE REAL ESTATE <br />SPECIFICALLY DESCRIBED AT ITEM 14 HEREIN <br />