TN FORM UCC3Ad (07/13) Business Services Division Tre Hargett, Secretary of State State of Tennessee INSTRUCTIONS UCC Financing Statement AMENDMENT Addendum (TN Form UCC3Ad) Filing Fee: See UCC3 Instructions The UCC3 Financing Statement Amendment Addendum must be filed in conjunction with a UCC3 Financing Statement Amendment. Please refer to the UCC3 Financing Statement Amendment instructions for directions on how to submit the forms. Please type or laser-print this form. Be sure it is legible. Read all instructions, especially instruction 13; correct Debtor name is crucial. Follow instructions completely. Fill in form very carefully; mistakes may have important legal consequences. If you have questions, consult your attorney. Filing office cannot give legal advice. Do not insert anything in the open space in the upper right portion or in the right hand vertical margin of this form. It is reserved for filing office use. 11. INITIAL FINANCING STATEMENT FILE NUMBER - Enter information exactly as given in item 1a on the UCC3 Amendment form. 12. NAME OF PARTY AUTHORIZING THIS AMENDMENT - Enter information exactly as given in item 9 on the UCC3 Amendment form. 13. DEBTOR NAME - If the UCC3 Amendment is to be filed or recorded in the real estate records, check box 1b on the UCC3 Amendment. Also, in item 13 of this Amendment Addendum, enter Debtor's name, in proper format exactly identical to the format of item 1 of UCC Financing Statement (UCC1), and enter the name of the record owner in item 16 if Debtor does not have a record interest. 14. COLLATERAL - If space on the UCC3 Amendment form is insufficient or you must provide additional collateral (item 8) information, enter additional information in item 14. 15. If this Financing Statement Amendment covers timber to be cut, as-extracted collateral, or filed as a fixture filing, check the appropriate box in item 15. 16. If Debtor is not a record owner of the described real estate, also provide, in item 16, the name and address of a record owner. 17. If collateral is real estate, provide a full legal description of the real estate in item 17. The description of real estate must be sufficient under the applicable law of the jurisdiction where the real estate is located. American LegalNet, Inc. www.FormsWorkFlow.com UCC FINANCING STATEMENT AMENDMENT ADDENDUM FOLLOW INSTRUCTIONS 11. INITIAL FINANCING STATEMENT FILE NUMBER: Same as item 1a on Amendment form 12. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form 12a. ORGANIZATION'S NAME OR 12b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) INITIAL(S) SUFFIX THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 13a. Name of DEBTOR on related financing statement (Name of current Debtor of record required for indexing purposes only in some filing offices see instruction item 13); Provide only one Debtor name (13a or 13b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); see instructions if name does not exist. 13a. ORGANIZATION'S NAME OR 13b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) INITIAL(S) SUFFIX 14. ADDITIONAL SPACE FOR ITEM 8 (COLLATERAL): 15. This FINANCING STATEMENT AMENDMENT: covers timber to be cut covers as-extracted collateral 17. Description of real estate: is filed as a fixture filing 16. Name and address of RECORD OWNER of real estate described in Item 17 (if Debtor does not have a record interest): Note: All information on this form is public record. UCC FINANCING STATEMENT AMENDMENT ADDENDUM (TN FORM UCC3Ad) (REV. 07/01/2013) American LegalNet, Inc. www.FormsWorkFlow.com