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REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 OF 3 PAGES
UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS front and back CAREFULLY
A. NAME 8 PHONE OF CONTACT AT FILER [optional]
LINDA L DUESTER
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
' FIVE POINTS BANK
P O BOX 1507
GRAND ISLAND NE 68802
1a. INITIAL FINANCING STA
ADAMS COUNTY, NE
FI ED
INST. NO.._.~OOS~.O~U
Date 3 ~3 ~5~' Time -33
~~v~
REGISTER OF DEEDS
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
16. This FINANCING STATEMENT AMEN[
is
20033517 to be filed [for record] (or recorded) in the
REAL ESTATE RECORDS.
2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
3. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to security interest(s) of the Secured Party authorizing this Continuation Statement is
continued for the additional period provided by applicable law.
4. U ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in item 7c; and also give name of assignor in item 9.
5. AMENDMENT (PARTY INFORMATION): This Amendment affects Debtor or Secured Party of record. Check only one of these two boxes.
Also check one of the following three boxes and provide appropriate information in items 6 andlor 7.
CHANGE nameand/oraddress: Please refertothe detailed instructions ^ DELETE name: Give record name ^ ADDname: Complete item 7a or7b,and also item 7c;
in regards to changing the name/address ofa party. to be deleted in item 6a or 6b alsocompleteitems 7e-7g (ifapplicable)
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
OR .,, ,.,..,.,,..,,...,., ..._.,..._ -- - -
7. CHANGED (NEW) OR ADDED INFORMATION:
7a. ORGANIZATION'S NAME --
-~ ~ 76. INDIVIDUAL'S LAST NAME FIRST NAME - - - -- MIDDLE.NAME SUFFIX
7c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY
7d. SEE INSTRUCTIONS ADD'L INFO RE 7e. TYPE OF ORGANIZATION 7f. JURISDICTION OF ORGANIZATION 7g. ORGANIZATIONAL ID #, it any
ORGANIZATION
DEBTOR
NONE
tf. AMtNUMEN I (GOLLA I ERAL CHANGE): check only one box.
- Describe collateral ~ deleted or ~ added, or give entire ^restated collateral description, or describe collateral assigned.
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor which
adds collateral or adds the authorizing Debtor, or i( this is a Termination authorized by a Debtor, check here and enter name of DEBTOR authorizing this Amendment.
9a. ORGANIZATION'S NAME ~ - -- - - -.
~ FIVE POINTS BANK
OR I96: INDIVIDUAL'S LAST NAME ,
-~ ~ -~- -- - MIDDLE NAME. -_.. ._.
1D.OPTIONAL FILER REFERENCE DATA --
CHARLES WELLS
FILING OFFICE COPY -UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV OS%22%02)Association of Commercial Administrators (IACA)
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UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form)
12. NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment
12a. ORGANIZATION'S NAME
FIVE POINTS BANK
OR 126. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE
13. Use this space for additional information
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
CHARLES WELLS DEBTOR
RECORD OWNER
TROLLERS ENTERPRISES LLC
4575 W SADDLEHORN RD
AYR NE 68925
NORTHWEST QUARTER (NWl/4) SECTION 28, TOWNSHIP 6, RANGE 10 ADAMS COUNTY, NEBRASKA
International Association of Commercial Administrators (IACA)
FILING OFFICE COPY- NATIONAL UCC FINANCING STATEMENT ALMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 07!29/98)
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