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 10.c MAILING ADDRESS Line One MAILING ADDRESS Line Two CITY FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) This space not available. STATE POSTAL CODE COUNTRY SUFFIX 11. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) ­ INSERT ONLY ONE SECURED PARTY (11a OR 11b) 11.a ORGANIZATION'S NAME 11.b INDIVIDUAL'S SURNAME 11.c MAILING ADDRESS Line One MAILING ADDRESS Line Two CITY FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) This space not available. STATE POSTAL CODE COUNTRY SUFFIX 12. This FINANCING STATEMENT covers as-extracted collateral, or is filed as a 13. Description of real estate: timber to be cut or fixture filing. 15. Additional collateral description: 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 American LegalNet, Inc. www.FormsWorkFlow.com