HomeMy WebLinkAbout01-0463 PARTIES
Debtor name (last name first if individual) and mailing address:
Mark Crete
71 Texaco Road
Mechanicsburg, PA 17055
Debtor name (last name first if individual) and maibog address:
Debtor 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:
Furnival Machinery Company
6375 Allentown Blvd.
Harrisburg, PA 17112 2
Assignee(s) of Secured Party name(s) (~ast name first if individual) and
ad~ress for security interest information:
FINANCING STATEMENT
Uniform Commercial Code Form UCC-1
IMPORTANT-Please read instructions on
reverse side of page 4 before completing
Filing No. (stamped by filing officer):
This Financing Statement is presented for filing
and is to be filed with the (check applicable box)
[] Secretary of the Commonwealth.
~Prothonotary of Cumberland
[] real estate records of
Date, Time, Filing Office (stamped by filing officer):
Number of Additional Sheets (if any):
Optional Special Identification (Max. 10 characters):
COLLATERAL
Identify collateral by item and/or type:
One (1) Komatsu Dozer Model D65EX, S/N 63263
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Two (2) Komatsu Excavators Model WA380,
S/N A50381 and A51241
Special Types of Parties (check if applicable):
[:::~qhe terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor,"
[] The terms "Debtor" and "Secured Party" mean "Consignee" and
"Consignor," respectively.
[] Debtor is a Transmitting Utility.
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SECURED PARTY SIGNATURE(S)
a security interest in cogateral (check applicable box(es))
b. ~] as to which the filing has lapsed.
c. already subject to a security interest in another county in Pennsylvania-
d. already subject to a security interest in another jurisdiction-
[]when 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 financing statement).
Secured Party Signature(s)
(required onry if box(es) is checked above):
[] (check only if desired) Products of the collateral are also covered. 9
Identify related real estate, if applicable: The collateral is, or includes (check appropriate box(es))-
a. [] crops growing or to be grown on -
b. [] goods which are or are to become fixtures an -
c. [] 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
[] Described on Additional Sheet.
Name of record owner (required only if no Debtor has an interest of record):
DEBTOR SIGNATURE(S)
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Title
10
lb
RETURN RECEIPT TO:
Furnival Machinery Company
6375 Allentown Blvd.
Harrisburg, PA 17112
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STANDARD FORM - FORM UCC 1 (7~89)
Approved by Secretary of Commonwealth of Pennsylvania
NOTE - This page will not be returned by the Department of State,
(1) FILING OFFICE ORIGINAL
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