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, , ��, <br />UCC FINANCWG STATEMENTADDENDUM <br />FOLLOW INSTRUCTIONS {front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR {1 a or 1b) ON RELATED FINANCING STATEMENT <br />9a ORGANIZATION'S NAME <br />OR <br />9b II•JnIVIDUAL'S IAST IJAME FIRST P1AME MIDDLE <br />DUBBS DAVID G <br />io. r�sceu.aNeous: <br />16. Additional co0ateral description: <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ON <br />11. ADDITIQNAL DEBTOR'S EXACT FULL LEGAL NAME - insertonl <br />� 1 a. ORGAPIIZATIc�IN'S I�IAME <br />OR I � 1 b. IPdDiVIpUAL'S LAST NAME <br />name (11a or 11b) - do not abbreviata or combine names <br />11c. MAIUIVG AGDRESS CRY <br />rd SEEINSTRUCTIONS AGD'LI�dFORE 11e IYPEOFORGAh11ZATI�JFJ 1�f.JURISDICTIOIJ�JF�RGANIZATlOt4 <br />�JRGAIdIZATION <br />DEBTOR <br />i2. ADDITIONA�SECUREDPARTY'S .01 ASSIGNORS/P'S NAME-insertonlyo�name{�zaar�; <br />12a. ORGANIZATION'S NAME <br />OR �� �� LAST NAME FIRST NAME <br />12c. NIAILItJG ,4DDRES3 <br />13. This FRdAPICWG STATEN1EPdT r.overs Hmber to be cut or as-extrected <br />collateral, or is filed as a� fixture filing. ' <br />14. Description of real estate: <br />NE1/4 XC .43 A RD, SEC 33, T11N R12W, HALL COUNTY, NE <br />15. IVame and address of a RECORp OWIdER of above-tJescribed real estate <br />(if Debtor does not have a reoord interesq: <br />DAVID G. DUBBS <br />PATRICIA A. DUBBS <br />201108982 <br />91DDLE f•dAME SUFFIX <br />tTATE POSTAL CODE COUI�IfRY <br />1g. ORGAI�IZATIOIdAL ID i!, if any <br />❑ INOPlE <br />NDDLE NAME SUFFIX <br />17. Cheek gnly � a�,plicable and check gr1X one box. <br />Debtor is a n Trust or n Trustee acting with respect to propsrty helcl in trust or n DecedenYs Estata <br />18. Check n� if applicable and check o ily one box. <br />Debtor is a TRAN3MITTIIdG IiTILITY <br />Filed in connection wilh a Manufactured•Home Transac6on — e8ective 30 years <br />Filed in connection with e Public-Finance Transaction — effectivs 30 years <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) {REV. 05/22/02) <br />