HomeMy WebLinkAbout01-0522 ~RTIES
Debtorname(lastnamefi~tifindividual) andmuilingadd~ss:
KEYSTONE METAL BUILDING SVC.INC.
1660 SPRING ROAD
CARLISLE, PA. 17013
Debtor name (last name first if individual) and mailing address:
Debtur name (last name first if individual) and mailing address:
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Secured Party(les) names(s) (last name first if individual) and address
for security interest information:
STEPHENSON EQUIPMENT INC.
7201 PAXTON STREET
HARRISBURG, PA. 17111 2
A~signee{s) of Secured Party name(s) (last name first if individual) and
address for security interest information:
FINANCING STATEMENT
Uniform Commercial Code Form UCC-1
IMPORTANT-Please read instructions
reverse side ef page 4 before completing
Filing No. (stamped by tiling officer): Date, Time, Filing Office (stamped by filing officer):
~a. ~' 5'q.~
This FinancJnQ Statement is pr~sente~ for hPin~ ~ursuant to th~rm
and is to be filed with the (check applicable box)
~ Secretary of the Commonwealth.
[~'l~'rothonntary of (~. C/~f~4'2'd~l~'~ eJ
[] real estate records of
Number of Additional Sheets (if any):
Optional Special Identification (Max. lO characters):
COLLATERAL
Identify collateral by item and/or type: "LEASE"
ONE
ONE
County.
$
7
(1) 1999 PIONEER MODEL 4000 RCC CRANE,
s/n 440064904036 mounted on
(1) 1999 FREIGHTLINER MODEL FLll2 TRUCK,
s/n 1FVXTECB6XHA32499
with all attachments and accessories.
2e
Special Types of Parties (check if applicable):
[] The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor,"
respectively.
[] The terms "Debtor" and "Secured Party" mean "Consignee" and
"Consignor," respectively.
[] Debtor is a Transmitting Utility.
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SECURED PARTY SIGNATURE(S)
This statement is filed with only the Secured Party's signature to perfect
a security interest in collateral (check applicable box(es))*
a, [] acquired 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 in another county in Pennsylvania*
[]when the collateral was moved to this county.
[]when the Debtor's residence or place of business was moved to
this county.
d. already subject to a security interest in another jurisdiction-
r-lwhen the collateral was moved to Pennsylvania.
[]when the Debtor's location was moved to Pennsylvania.
e. [] which is proceeds of the collateral described in block 9, in which a
security interest was previously perfected (also describe proceeds in
block 9, if purchased with cash proceeds and not adequately
described on the original tinancio9 statement).
Secured Party Signature(s)
(required only if box(es) is checked above):
STEP~IENSON ~QUIPM~NT I~TC-
STANDARD FORM - FORM UCC-? (7-89)
Approved by Secretary of Commonwealth of Pennsylvania
[] (check only if desired) Products of the collateral are also covered. 9
Identify related reap estate, if applicable: The collateral is, or includes (check appropriate box(es))-
a. [ crops growing or to be 9rowe on -
b. [] goods which are or are to become fixtures on -
c, D minerals or the like (including oil and gas) as extracted on -
d. [] accounts resulting from the sale of minerals or the like (including oil and 9as) at the wellhead or
minehead on -
the following real estate:
Street Address;
Described at: Book of (check one) [] Deeds [:] Mortgages, at Page(s)
for County, Uniform Parcel Identifier
E~ Described on Additional Sheet.
Name of record owner (required only if no Debtor has an interest of record):
DEBTOR SIGNATURE(S)
Debtor Signature(s):
lb
RETURN RECEIPT TO:
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NOTE - This page will not be returned by the Department of State.
(1) FILING OFFICE ORIGINAL
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