(a) A filing office that accepts written records may not refuse to accept a written initial financing statement in the following form and format except for a reason set forth in Section 36-9-516(b):

UCC FINANCING STATEMENT

Follow instructions (front and back) CAREFULLY

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A. NAME & PHONE OF CONTACT AT FILER (optional)

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B. SEND ACKNOWLEDGEMENT TO: (name and address)

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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

1. DEBTOR'S EXACT FULL LEGAL NAME: insert only one debtor's name 1(a) or 1(b)--do not abbreviate or combine names.

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1a. ORGANIZATION'S NAME

OR

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1b. INDIVIDUAL'S LAST FIRST NAME MIDDLE NAME SUFFIX

NAME

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1c. MAILING ADDRESS CITY STATE COUNTY

POSTAL

CODE

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1d. TAX ID#: SSN OR EIN Additional 1e. TYPE OF 1f. JURI- 1g.

Info Re ORGANIZA- SDICTI- ORGANIZATIONAL

Organiza- TION ON OF ID, if any

tion ORGANI-

Debtor ZATION

[ ] NONE

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2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME: insert only one debtor's name 2 (a) or 2(b)--do not abbreviate or combine names

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2a. ORGANIZATION'S NAME

OR

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2b. INDIVIDUAL'S LAST FIRST NAME MIDDLE NAME SUFFIX

NAME

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2c. MAILING ADDRESS CITY STATE COUNTY

POSTAL

CODE

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2d. TAX ID#: SSN OR EIN Additional 2e. TYPE OF 2f. JURI- 2g.

Info Re ORGANIZA- SDICTI- ORGANIZATIONAL

Organiza- TION ON OF ID, if any

tion ORGANI-

Debtor ZATION

[ ] NONE

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3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE or ASSIGNOR S/P)--insert only one secured party name 3(a) or 3(b)

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2a. ORGANIZATION'S NAME

OR

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2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX

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2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTY

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4. This FINANCING STATEMENT covers the following collateral:

5. ALTERNATIVE DESIGNATION (if applicable) []LESSEE/LESSOR [] CONSIGNEE/CONSIGNOR []BAILEE/BAILOR []SELLOR/BUYER []AG. LIEN [] NON-UCC FILING

6. []This FINANCING STATEMENT IS TO BE FILED (for record) (or recorded) in the REAL ESTATE RECORDS. Attach Addendum (if applicable)

7.. Check to request SEARCH REPORT(S) on Debtors ADDITIONAL FEE Optional []All Debtors [] Debtor 1 [] Debtor 2

8. OPTIONAL FILER REFERENCE DATA

9. NAME OF FIRST DEBTOR (1(a) or 1(b) ON RELATED FINANCING STATEMENT

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9a. ORGANIZATION'S NAME

OR

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9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME, SUFFIX

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10. MISCELLANEOUS

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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME: Insert only one name: 11(a) or 11(b) do not abbreviate or combine names

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11a. ORGANIZATION'S NAME

OR

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11b. INDIVIDUAL'S LAST FIRST NAME MIDDLE NAME SUFFIX

NAME

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11c. MAILING ADDRESS CITY STATE COUNTY

POSTAL

CODE

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11d. TAX ID#: SSN OR EIN Additional 11e. TYPE 11f. JUR- 11g.

Info Re OF ORGAN- ISDICT- ORGANIZATIONAL

Organiz- IZATION ION OF ID, if any

ation ORGANI-

Debtor ZATION

[ ] NONE

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12a. ORGANIZATION'S NAME

OR

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12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX

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12c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTY

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13. This FINANCING STATEMENT 16. Additional collateral description

covers [ ] timber to be cut or

[ ] as extracted collateral,

or is filed as a [ ] fixture

filing

14. Description of real estate

15. Name and address of a RECORD

OWNER of above-described real

estate ((if Debtor does not

have a record interest):

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17. Check only if applicable and check only

one box. Debtor is a [] Trust or [] Trustee

acting with respect to property held in a

trust of [] Decendent's Estate

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18. 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

[ ] Filed in connection with a Public Finance

Transaction--effective 30 years

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(b) A filing office that accepts written records may not refuse to accept a written record in the following form and format except for a reason set forth in Section 36-9-516(b):

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A. NAME & PHONE OF CONTACT AT

FILER (optional)

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B. SEND ACKNOWLEDGEMENT TO: (name and

address)

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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

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1a. INITIAL FINANCING STATEMENT FILE # 1b. This FINANCING STATEMENT

AMENDMENT is to be filed (for

record) (or recorded) in the

[] REAL ESTATE RECORDS.

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2. [ ] TERMINATION: Effectiveness of the Financing Statement identified above

is terminated with respect to security of the Secured Party authorizing the

Termination Statement.

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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.

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4. [ ] ASSIGNMENT (full or partial): Give

names of assignee in Item 7a or 7B and

address of assignee in Item 7c, and

also give name of assignor in Item 9.

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5. AMENDMENT (PARTY INFORMATION): This Amendment affects [ ] Debtor or [ ]

Secured Party or record. Check only one of these two boxes.

Also check one of the following three boxes and provide appropriate information

in Iitems 6 and/or 7.

[ ] Change name and/or address. Give current record name in Item 6a or 6b; also

give new name (if name change) in Item 7a or 7b and/or new address (if

address change in Item 7c.

[ ] DELETE name. Give record name to be deleted in Item 6a or 6b.

[ ] ADD name: Complete Item 7a or 7b and also Item 7c; also complete IItems

7d-7g (if applicable)

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6. CURRENT RECORD INFORMATION

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12a ORGANIZATION'S NAME

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OR

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12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX

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7. CHANGED (NEW) OR ADDED INFORMATION:

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7a. ORGANIZATION'S NAME

OR

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7b. INDIVIDUAL'S LAST FIRST NAME MIDDLE NAME SUFFIX

NAME

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7c. MAILING ADDRESS CITY STATE COUNTY

POSTAL

CODE

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7d. TAX ID#: SSN OR EIN Additional 7e. TYPE OF 7f. JURI- 7g.

Info Re ORGANIZA- SDICTI- ORGANIZATIONAL

Organiza- TION ON OF ID, if any

tion ORGANI-

Debtor ZATION

[ ] NONE

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8. AMENDED (COLLATERAL CHANGE) check only one box.

Describe collateral [] deleted or [] added or give [] 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 if this is a Termination authorized by a Debtor, check here [] and enter name of DEBTOR authorizing this Amendment.

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9a. ORGANIZATION'S NAME

OR

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9b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX

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10. OPTIONAL FILER REFERENCE DATA

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 form)

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12a. ORGANIZATION'S NAME

OR

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12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX

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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY

13. Use this space for additional information.