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7a. ORGANIZATION'S NAME
7b. 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 1
7f. JURISDICTION OF ORGANIZATION
7g. ORGANIZATIONAL ID if any
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)
OR
OR
L
DIVERSIFIED FINANCIAL SERVICES, LLC
14010 FNB PKWY, STE. 400
OMAHA, NE 68154
la. INITIAL FINANCING STATEMENT FILE
BOOK 695 PAGE 859 LINCOLN COUNTY, WY 05/30/08
TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
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 u Debtor pi a Secured Party of record. Check only QLtg of these two boxes.
Also check ooa of the following three boxes add provide appropriate information in items 6 and /or 7.
CHANGE name and /or address: Give current record name in item 6a or 6b; also give new Li DELETE name: Give record name
LI name (if name change) in item 7a or 7b and /or new address (if address change) in item 7c. to be deleted in item 6a or 6b.
6. CURRENT RECORD INFORMATION:
6a. ORGANIZATION'S NAME
6b. INDIVIDUAL'S LAST NAME
GARDNER
FIRST NAME
ROLLIN
MIDDLE NAME
7. CHANGED (NEW) OR ADDED INFORMATION:
8. AMENDMENT (COLLATERAL CHANGE): check only ma box,
Describe collateral El deleted or ['added, or give entireDrestated collateral description, or describe collateral assigned.
DEBTOR(S): GARDNER, ROLLIN
RECORD OWNER(S): ROLLIN GARDNER, TAMI GARDNER
LEGAL DESC: 144.81 AC, PT SW1 /2 SEC 1, TWP 31N, RGE 119W, LINCOLN COUNTY, WY
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. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
10.OPTIONAL FILER REFERENCE DATA
209 0160623 -001
J
FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)
RECEIVED 6/27/2013 at 10:09 AM
RECEIVING 971690
BOOK: 814 PAGE: 536
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
10538
1b. This FINANCING STATEMENT AMENDMENT is
to be filed [for record) (or recorded) in the
REAL ESTATE RECORDS.
U ADD name: Complete item 7a or 7b, and also
item 7c; also complete items 7d -7q (if applicable).
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