Fill and Sign the Florida Financing Addendum Form

STATE OF FLORIDA UNIFORM COMMERCIAL CODE FINANCING STATEMENT FORM – ADDENDUM 8. NAME OF FIRST DEBTOR (1aOR 1b) ON RELATED FINANCING STATEMENT 8a. ORGANIZATION’S NAME 8b. INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 9 . MISCELLANEOUS: 10. ADDITIONAL DEBTOR’S EXACT FULL LEGAL NAME – INSERT ONLY ONE DEBTOR NAME ( 10a OR 10b ) – Do Not Abbreviate or Combine Names 10.a ORGANIZATION’S NAME 10.b INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 10.c MAILING ADDRESS Line One This space not available. MAILING ADDRESS Line Two CITY STATE POSTAL CODE COUNTRY 11. SECURED PARTY’S NAME (or NAME of TOTAL ASSIGNEED of ASSIGNOR S/P) – INSERT ONLY ONE SECURED PARTY ( 11a OR 11b ) 11.a ORGANIZATION’S NAME 11.b INDIVIDUAL’S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX 11.c MAILING ADDRESS Line One This space not available. MAILING ADDRESS Line Two CITY STATE POSTAL CODE COUNTRY 12. This FINANCING STATEMENT covers timber to be cut or 15 . Additional collateral description: as-extracted collateral, or is filed as a fixture filing. 13 . Description of real estate: 14 . Name and address of a RECORD OWNER of above-described real estate (if Debtor does not have a record interest): 16 . Check only if applicable and check only one box. Collateral is Held in Trust Being administered by Decedent’s Personal Representative 17 . Check only if applicable and check only one box. Debtor is a TRANSMITTING UTILITY Filed in connection with a Manufactured-Home Transaction – effective 30 years STANDARD FORM - FORM UCC-1 ADDENDUM (REV.05/2013) Filing Office Copy Approved by the Secretary of State, State of Florida