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7a. ORGANIZATION'S NAME
713, INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
7c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
7d. TAX ID SSN OR EIN
ADD'L INFO RE 17e. TYPE OF ORGANIZATION
ORGANIZATION
DEBTOR I
7f. JURISDICTION OF ORGANIZATION
7g. ORGANIZATIONAL ID if any
LI NONE
UCC FINANCING STATEMENTAMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME PHONE OF CONTACT AT FILER [optional]
1- 800 648 -8026 MORGAN CUMMINGS
B. SEND ACKNOWLEDGMENT TO: (Name and Address)
L
DIVERSIFIED FINANCIAL SERVICES, LLC
14010 FNB PKWY, STE. 400
OMAHA, NE 68154
la, INITIAL FINANCING STATEMENT FILE
BOOK 704 PAGE 285 LINCOLN COUNTY, WY 09 /05/08
2.
RECEI
REC
BOOK
LINCOLN C
THEABOVESPAC
TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Se
n
3. 0 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. 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 U Debtor oL U 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 and /or 7.
CHANGE name and /or address: Give current record name in item 6a or fib; also give new
name (if name change) in item 7a or 7b and /or new address (if address change) in item 7c.
6. CURRENT RECORD INFORMATION:
ri DELETE name: Give record name
Li to be deleted in item 6a or 6b.
ED 6/3/2013 at 12:09 PM
EIVING 971258
:812 PAGE: 686
JEANNE WAGNER
OUNTY CLERK, KEMMERER, WY
E IS FOR FILING OFFICE USE ONLY
1b. This FINANCING STATEMENT AMENDMENT is
to be filed (for record] (or recorded) in the
REAL ESTATE RECORDS.
cured Party authorizing this Termination Statement.
ADD name: Complete item 7a or 7b, and also
item 7c; also complete items 7d -7g (if applicable).
6a. ORGANIZATION'S NAME
6b. INDIVIDUALS LAST NAME
CAZIER
FIRST NAME
CHAD
MIDDLE NAME
D.
OR
7. CHANGED (NEW) OR ADDED INFORMATION:
SUFFIX
8. AMENDMENT (COLLATERAL CHANGE): check only Mg box.
Describe collateral ❑deleted or ❑added, or give entire ['restated collateral description, or describe collateral ['assigned.
SEE ATTACHED ADDENDUM(S):
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 if this is a Termination authorized by a Debtor, check here and enter name of DEBTOR authorizing this Amendment.
9a. ORGANIZATION'S NAME
DIVERSIFIED FINANCIAL SERVICES, LLC
9b. INDIVIDUALS LAST NAME
FIRST NAME
MIDDLE NAME
OR
10.OPTIONAL FILER REFERENCE DATA
009 0162408 -001
FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)
SUFFIX
UCC FINANCING STATEMENT AMENDMENT ADDENDUM
NAME OF PARTY AUTHORIZING THIS AMENDMENT (same as item 9 on Amendment form)
12a. ORGANIZATION'S NAME
DIVERSIFIED FINANCIAL SERVICES, LLC
12b, INDIVIDUAL'S LAST NAME
Use this space for additional information
FIRST NAME
MIDDLE NAME,SUFFIX
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. INITIAL FINANCING STATEMENT FILE (same as item la on Amendment form)
BOOK 704 PAGE 285 LINCOLN COUNTY, WY 09/05/08
12.
OR
13.
DEBTORS: CAZIER, CHAD D.; CAZIER, WILLIAM
RECORD OWNERS: CHAD CAZIER
LEGAL DESC.: NW 1/4 SEC. 27 T -32N R -119W, LINCOLN COUNTY, WY
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
FLING OFFICE COPY NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 07/29/98)