HomeMy WebLinkAbout01-0048 PARTIES
Debtor name (fast name first if individual) and mailing address:
Borough of Newville
4 West Street
Newville, PA 17241
Debtor name (last name first if individual) and mailing address:
Debtor name (last name first if iedMdual) and mailing address:
lb
S~ured Parly(ies) name(s) (last name fgsl if individual) a~d address for
security interest information:
FARMERS NATIONAL BANK OF NEWVIT,T.~
1 West Big Spring Avenue
P.O. Box 156 2
Nc%~willc. DA 172~1
Assignee(s) e~ ~ecu.~f Party name(s) (last name first if individual) arid address
for security interest information:
S~ciel T,/pe~ of Parti~ (check d applicable):
[~ The terms "Debtor" and "Secured Party" mean "Lessee" and
"Lessor," respectivety.
[] The terms "Debtor" and "Secured Party" mean "Consignee" and
SECURED PARTY SIGNATURE(S)
This statement Js fired with only the Secured Party's signature to perfect
a security interest in collateral (check applicable box(esl)-
a [] ecquimd after a change of name, identity or corporate structure of the
Debtor.
b [] as to which the filing has lapsed,
c. already subject to a security interest Jn another county ia Pennsylvania -
[] when the eofleterat was moved to this county,
[] when the Debtor's residence or place of business was moved to
itds county
d. already subject to a security interest in another jurisdi~ion - [] when the collateral was moved to Pennsylvania.
[] when the De~nr's location was moved to Pennsylvaaia.
e [] which is proceeds of the cofiateral described ia block 9. in which a
security interest was previnaaly perfected (atsu describe proceeds fe block
9, if purchased with cash pmcecds and nut adequately described on the
original ~fnaeciag statement)
Secured Party Signature(s)
(required only if box(es) is checked above):
FINANCING STATEMENT
Unffem~ Comme~ial Code Form UCC-!
IMPORTANT - Please read instruclions on
reverse side of page 4 befme completing
Filiq Ne. (stamped by filin~ oftic~}: I~le, 1~me. Rli~J Office (~ by f~ing r
flle~ w~m the (check applica~e hex): '}:C:. :~
[] Secretary of the CommonweaJffi. ~.3 , ~ ?~ I
Number of ~dditiomof Sfieets (if am/):
Ogtthnof Slecthl ideedfkaden (Flax. 10 chamci~s);
COLLATERAL
Identity collateral by item nad/or type:
~ ~AXES AND CTj~J~N~
OF I'T~IT,T,F:, FOR THE YEAR OF 2001; whether any of
the foregoing is owned now or acquired later; all
accessions, additions, replacements, and substituti(
relating to any of the foregoing; all records of
any kind relating to any of the foregoing; all
proceeds relating to any of the foregoing (including.
insurance, general intangibles and accounts
proceeds) o
[~ {check only if ddsirdd) Products of the co~tsm/are abe covered.
Ideefify related real estetth if appticab/e: ]be coffateral b, m bldades (check ap~opdafe box(es)) -
~ [] o~q~Fow~ortobe~ownrm-
b. [] goodswhichareo,'aretabecoxne~tumsna-
C. [] minerals or ~e like (Jecleding oil and gas) as extracted on -
d. [] ae~aums resaltinfi fnma the sale ef mthe~ls ~ the li~ (imdu4thg oil and gas) al the wellh
or mi~bead na -
the following real estate:
Street Address:
Deseribed at: Deok__of (check o~e} [~] Deeds [] Mortgage, at Page(s).__
lor Conaty. Uadonn Parcel Idnalffgm
[] Described on Additional Sheet.
Name of recmd mqmnr (raqoited naly it no Debtor has an inf~mst of record):
DEBTOR SIGNATURE(SI
Debtor Signature(s):
J~L/GT~T, P~:esident, BOROUGH OF NEWV/T,LP.
SHERRY ~./ HERSHEY, SeCretary/Treasurer, BOROUGH
tb ~J OF
R~TURN R~CBPT TO:
FARMERS NATIONAL BANK OF NEWVIT,T.W.
1 West Big Spring Avenue
P.O. BoX 156
Newville, PA 17241
FILING OFRCE ORI~flAL
NOTE - This page will not be returned by the Department of State.
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