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APN# 138-28-112-039; Assets, Proceeds, Fixtures, Contracts, Deeds of Trust, Security Deeds, Bonds,
Mortgages, Chattel Papers, Title, Financial Notes, Financial Instruments, (and/or Ownership or Possession
of such Documents and Records: Promissory Notes and/or Electronic Notes. Lot (178) in Book Six (6) OF
Cimarron Ridge Unit 4, as Shown By Map Thereof on file in book 51 of plats, Page 75, County of Clark,
State of Nevada. also known by street and number as 8221 Hydra Lane, Las Vegas, Nevada 89128.
 DECLARATIONS Coverage afforded by this policy is provided by:
State Farm Fire and Casualty Company
2700 South Sunland Drive
We will provide the insurance described in this policy Tempe, AZ 85282-3387
in return for the premium and compliance with all
applicable provisions of this policy. A Stock Company with Home Offices in Bloomington,
Illinois.
28-B7-G453-3 Policy Number
Named Insured and Mailing Address
Selassie, Frasberg
8221 Hydra Ln
Las Vegas, NV 89128-1633
The Policy Period begins and ends at 12:01 a.m. Automatic Renewal - If the Policy Period is shown as
Standard Time at the residence premises. 12 months, this policy will be renewed automatically
12/12/2018 Effective Date subject to the premiums, rules and forms in effect each
12 months - Policy Period succeeding policy period. If this policy is terminated, we
12/12/2019 Expiration of Policy Period will give you and the Mortgagee/Lienholder written
notice in compliance with the policy provisions or as
Limit of Liability - Section 1 required by law.
$199,000 Dwelling
$149,250 Personal Property (Minimum 75% of Deductibles - Section 1 1% $1,990
Dwelling) ALL LOSSES In case of loss under this policy, the
Limit of Liability - Section 2 deductible will be applied per occurrence and will be
$300,000 Personal Liability deducted from the amount of the loss.
$1,000 Medical Payments to Others
Earthquake:
Policy Type Homeowners
A1 - Replacement Cost - Similar Construction Policy Premium $ 961
Increased Dwelling Up to $39,800 - Option ID
Location of Premises
8221 Hydra Ln
Las Vegas, NV 89128-1633

Forms, Options, & Endorsements

FP-7955 Homeowners Policy Ordinance/Law 10% $19,900
Homeowners Policy Endorsement Amendatory Endorsement
Actual Cash Value Endorsement Back-Up Dwell/Listed Property
Mortgagee & Addl. Interests Agent Name & Address
Lienholder Tami Zornek
NRMG NEVADA PARTNERS, LLC Zornek Insurance Agency Inc
8221 Hydra Ln 7450 W Lake Mead Blvd Ste 3
Las Vegas, NV 89128-1633 Las Vegas, NV 89128-0295
Loan Number: N/A (702) 545-0000

Prepared: 04-05-2019 Agent's Code:2397

559-916.4 APPLICANT COPY

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UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT FILER (optional)
Frasberg Selassie
(202) 486-7720
B. E-MAIL CONTACT AT FILER (optional)

C. SEND ACKNOWLEDGMENT TO: (Name and Address)

Lienholder
non-assumpsit/TDC: c/o 8221 Hydra DOCUMENT NUMBER: 77908210009
Las Vegas, NV 89128-9998 FILING NUMBER: 19-77059156
UMI FILING DATE: 04/07/2019 03:14
IMAGE GENERATED ELECTRONICALLY FOR WEB FILING
THE ABOVE SPACE IS FOR CA FILING OFFICE USE ONLY

1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7705915327 (Form UCC3Ad) and provide Debtor's name in item 13

2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement

3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8

4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law

5. PARTY INFORMATION CHANGE:

Check one of these two boxes: AND Check one of these three boxes to:
CHANGE name and/or address: Complete ADD name: Complete item DELETE name: Give record name
This Change affects Debtor or Secured Party of record. item 6a or 6b; and item 7a and 7b and Item 7c 7a or 7b, and item 7c to be deleted in item 6a or 6b

6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME

OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
OLD REPUBLIC GENERAL INSURANCE GROUP, INC.
7b. INDIVIDUAL'S SURNAME

OR
INDIVIDUAL'S FIRST PERSONAL NAME

INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

7c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

307 NORTH MICHIGAN AVENUE CHICAGO IL 60601 USA
8. COLLATERAL CHANGE: Also check one of these four boxes: ADD collateral DELETE collateral RESTATE covered collateral ASSIGN collateral
Indicate collateral:

9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor

a. ORGANIZATION'S NAME

OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party: Frasberg Selassie

FILING OFFICE COPY

Page 2

UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY

FOLLOW INSTRUCTIONS
19. INITIAL FINANCING STATEMENT FILE NUMBER: Same as item 1a on Amendment form
19-7705915327
20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME

20b. INDIVIDUAL'S SURNAME

OR Selassie
FIRST PERSONAL NAME
Frasberg DOCUMENT NUMBER: 77908210009
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
IMAGE GENERATED ELECTRONICALLY FOR WEB FILING
THE ABOVE SPACE IS FOR CA FILING OFFICE USE ONLY
21. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (21a or 21b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
21a. ORGANIZATION'S NAME
OLD REPUBLIC GENERAL INSURANCE GROUP
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

307 NORTH MICHIGAN AVENUE CHICAGO IL 60601 USA
22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME

OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

22c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME

OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

23c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME

OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

24c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME

OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

25c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

26. MISCELLANEOUS:

FILING OFFICE COPY

UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS
A. NAME & PHONE OF CONTACT AT FILER (optional)
Frasberg Selassie
(202) 486-7720
B. E-MAIL CONTACT AT FILER (optional)

C. SEND ACKNOWLEDGMENT TO: (Name and Address)

Lienholder
non-assumpsit/TDC: c/o 8221 Hydra DOCUMENT NUMBER: 77908210010
Las Vegas, NV 89128-9998 FILING NUMBER: 19-77059157
UMI FILING DATE: 04/07/2019 03:15
IMAGE GENERATED ELECTRONICALLY FOR WEB FILING
THE ABOVE SPACE IS FOR CA FILING OFFICE USE ONLY

1a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. This FINANCING STATEMENT AMENDMENT is to be filed [for record] (or
recorded) in the REAL ESTATE RECORDS. Filer: Attach Amendment Addendum
19-7705915185 (Form UCC3Ad) and provide Debtor's name in item 13

2. TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement

3. ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in item 7c and name of Assignor in item 9
For partial assignment, complete items 7 and 9 and also indicate affected collateral in item 8

4. CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is continued for the
additional period provided by applicable law

5. PARTY INFORMATION CHANGE:

Check one of these two boxes: AND Check one of these three boxes to:
CHANGE name and/or address: Complete ADD name: Complete item DELETE name: Give record name
This Change affects Debtor or Secured Party of record. item 6a or 6b; and item 7a and 7b and Item 7c 7a or 7b, and item 7c to be deleted in item 6a or 6b

6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b)
6a. ORGANIZATION'S NAME

OR
6b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the
Debtor's name)
7a. ORGANIZATION'S NAME
OLD REPUBLIC GENERAL INSURANCE GROUP
7b. INDIVIDUAL'S SURNAME

OR
INDIVIDUAL'S FIRST PERSONAL NAME

INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

7c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

307 NORTH MICHIGAN AVENUE CHICAGO IL 60601 USA
8. COLLATERAL CHANGE: Also check one of these four boxes: ADD collateral DELETE collateral RESTATE covered collateral ASSIGN collateral
Indicate collateral:

9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment)
If this is an Amendment authorized by a DEBTOR, check here and provide name of authorizing Debtor

a. ORGANIZATION'S NAME

OR
b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
Selassie Frasberg
10. OPTIONAL FILER REFERENCE DATA:
Signed By Secured Party: Frasberg Selassie

FILING OFFICE COPY

Page 2

UCC FINANCING STATEMENT AMENDMENT ADDITIONAL PARTY

FOLLOW INSTRUCTIONS
19. INITIAL FINANCING STATEMENT FILE NUMBER: Same as item 1a on Amendment form
19-7705915185

20. NAME OF PARTY AUTHORIZING THIS AMENDMENT: Same as item 9 on Amendment form
20a. ORGANIZATION'S NAME

20b. INDIVIDUAL'S SURNAME

OR Selassie

FIRST PERSONAL NAME

Frasberg DOCUMENT NUMBER: 77908210010
ADDITIONAL NAME(S)/INITIAL(S) SUFFIX
IMAGE GENERATED ELECTRONICALLY FOR WEB FILING
THE ABOVE SPACE IS FOR CA FILING OFFICE USE ONLY
21. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (21a or 21b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
21a. ORGANIZATION'S NAME
OLD REPUBLIC GENERAL INSURANCE GROUP, INC.
OR
21b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

307 NORTH MICHIGAN AVENUE CHICAGO IL 60601 USA

22. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (22a or 22b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
22a. ORGANIZATION'S NAME

OR
22b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

22c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

23. ADDITIONAL DEBTOR'S NAME - : Provide only one Debtor name (23a or 23b)(use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name)
23a. ORGANIZATION'S NAME

OR
23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

23c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

24. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (24a or 24b)
24a. ORGANIZATION'S NAME

OR
24b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

24c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

25. ADDITIONAL SECURED PARTY'S NAME or ASSIGNOR SECURED PARTY'S NAME: Provide only one name (25a or 25b)
25a. ORGANIZATION'S NAME

OR
25b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX

25c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY

26. MISCELLANEOUS:

FILING OFFICE COPY