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UCC FINANCING STATEMENT - IACA

B. E-MAIL CONTACT AT FILER (optional)FILING OFFICE COPY UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11)THE ABOVE SPACE IS FOR FILING OFFICE USE ONLYUCC FINANCING STATEMENTFOLLOW INSTRUCTIONSA. NAME & PHONE OF CONTACT AT FILER (optional)OR1a. ORGANIZATION'S NAMEPOSTAL CODECITY1c. MAILING ADDRESS1b. INDIVIDUAL'S SURNAMESTATECOUNTRY8. OPTIONAL FILER REFERENCE DATA:A Debtor is a Transmitting UtilityManufactured-Home TransactionPublic-Finance Transaction6a. Check only if applicable and check only one box:7. ALTERNATIVE DESIGNATION (if applicable):Seller/BuyerBailee/BailorCon signee/ConsignorLessee/LessorAgricultura l LienNon-UCC FilingOR3b. INDIVIDUAL'S SURNAMEFIRST PERSONAL NAMEPOSTAL CODE3c. MAILING ADDRESSCITYADDITIONAL NAME(S)/INITIAL(S)STATESUFFIXCOUNTRY3a. ORGANIZATION'S NAME3.

Instructions for UCC Financing Statement (Form UCC1) Please type or laser-print this form. Be sure it is completely legible. Read and follow all Instructions, especially Instruction 1; use of the correct name

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