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HomeMy WebLinkAbout01-0634 PARTIES Debtor name (last name first if individual) and mailing address: Laws, Staruch & Pisarcik 23-2076619 20 Erford Road, Suite 305 Lemoyne, PA 17043-163 1 Debtor name (lastname firstifindividual) and mailing address: Debtor name (last name first if individual) and mailing address: COMMONWEALTH OF PENNSYLVANIA - UCC1 FINANCING STATEMENT Uniform Commercial Code Form UCC-1 IMPORTANT-Please read instr~jcti, oqs on reverse side of page 4 before o(i~lpJ~tl~g Filing No. (stamped by filing officer): Date, Tilt)e; Filihg Off[(~e (~t~r~i~-~'filing officer)~ PE,N~NSYL~,C,~NLA This Financing Statement is presen~ for filing pursuant to the Uniform Commercial lb Secured Pa~y(ies) name(s)(last name firstifindividual) and address ~rsecurity in~restinform~ion: Community Banks, N.A. 6700 Derry Street Harrisburg, PA 17111 2 Assignee(s) of Secured Party name(s) (last name first if individual) and address for security interest information: Code, and is to be filed with the (check applicable box): Secretary of the Commonwealth. Prothonotary of Cumber[and real estate records of INumber of AdditionaISheets (if any): 1 Optional Special Identification (Max. 10 characters): COLLATERAL Identify collateral by item and/or type: ._ County. County. 6 7 8 SEE ATTACHMENT A 2a 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. 3 SECURED PARTY SlGNATUR-E(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 ar corporate structure of the Debtor b ~ as to which the filing has lapsed c already subject to a security interest in another county rn Pennsylvania - [~ when the collateral was moved to this county ~when the Debtor's residence or piece of business was moved to this county 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 only if box(es) is checked above): [] (check only if desired) Products of the collateral are also covered. 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 on - c [] minerals or the like (including oil and gas) as extracted on - d. I~ accounts resulting from the sale of minerals or the like (including oil and gas) 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 interestof record): .,.,,~-~,~' D E BTO R~,,~N~AT U R E( S ) De bt ° r S i~t u [~.)'~'/r~ _x'~ ' RETURN RECEIPT TO: 10 11 Community Banks, N.A. 6700 Derry Street Harrisburg, PA 17111 STANDARD FORM - FORM UCC-1 (7-89) Approved by Secretary of Commonwealth of Pennsylvania NOTE - This page wi[[ not be returned by the Department of State 12 INSTRUCTIONS 1. PLEASETYPEOR PRINT all information in black. 2. FOR FILINGS WITH THE DEPARTMENT OF STATE YOU MUST USE THIS FORM or a standard form approved by the Secretary of the Commonwealth. If additional sheets are needed due to limited space on this form, use additional 8 1/2 x 11 inch sheets. Be sure to indicate the number of additional sheets (if any) in block 7. If the security agreement itself is filed as the financing statement, it must be filed with this form properly completed and with conformed signatures (such as "/s/(name of signer)"). THIS FORM MAY NOT BE ACCEPTABLE FOR FILING IN ALL COUNTIES. PLEASE CHECK WITH THE PROTHONOTARY OF THE COUNTY WITH REGARD TO ITS ACCEPTABILITY AND USE. 3. COMPLETE THE FORM CAREFULLY. Follow any instructions provided, and only check boxes that apply to the transaction or this filing. Be sure to leave block 5 blank, for completion by the filing officer. To help you identify this filing, a special identification number or letter code of up to 10 characters may be entered in block 8. Any such identification number or letter code is entirely optional, and is only for the convenience of the flier. This number or letter code will appear on the receipt for this form that you will receive from the filing office of the Department of State. 4. FILING FEES must be paid at the time of filing. The fee for filing this form with one (1) debtor name with the Department of State is $12.00. For each additional name listed on the UCC-1 form include an additional $12.00 with the filing fee. There is no extra charge for additional sheets filed with this form. For filings with the Department of State, make your check payable to "PA Department of State". Local filings are to be made with the appropriate county office. Please check with the Prothonotary of each county with regard to local filing instructions and fees. 5. MAIL OR DELIVER this form to the appropriate State and/or county office(s) for filing. Be sure to indicate the filing office in block 6, and remember to include your check to cover required filing fees. Filings with the Department of State are to be addressed to "UniformCommercial Code, Department of State, Harrisburg,PA 17120". You are advised to keep a copy of this Form UCC-1 for your own records. 6. A RECEIPT for this form, bearing the date, time, filing number, and any special identification number or letter code entered in block 8, will be returned to you by the Department of State. The receipt for this form will be mailed to the name and address listed in block 12. -Community Banks, N.A. 6700 Derry Street Harrisburg. PA 17111 (800) 331-8362 "LENDER" UCC-1 ATTACHMENT A Debtor's Name and Mailing Address: Laws, Staruch & Pisarcik 20 Erford Road, Suite 305 Lemoyne, PA 17043-163 All of Debtor's rights, title and interest in the following described property whether now or hereafter existing or now owned or hereafter acquired by Debtor and wherever located shall constitute the "Collateral": [~ All accounts and contract rights including, but not limited to, any accounts and contract rights described on Schedule Aon the reverse side hereof and incorporated herein by this reference; All chattel paper including, but not limited to, any chattel paper described on Schedule A on the reverse side hereof and incorporated herein by this reference; All documents including, but not limited to, any documents described on Schedule A on the reverse side hereof and incorporated herein by this reference; [] All equipment including, but not limited to, any equipment described on Schedule A on the reveme side hereof and incorporated herein by this reference; All fixtures including, but not limited to, any fixtures described on Schedule A and located or to be located on the real property described on Schedule B on the reverse side hereof and incorporated herein by this reference; All general intangibles including, but not limited to, any general intangibles described on Schedule A on the reverse side hereof and incorporated herein by this reference; All inventory including, but not limited to, any inventory described on Schedule A on the reverse side hereof and incorporated herein by this reference; [] All minerals or the like and accounts resulting from sales at the wellhead or minehead located on or related to the real property described on Schedule B on the reverse side hereof and incorporated herein by this reference; All standing timber which is to be cut and removed under a conveyance or contract for sale located on the real property described on Schedule B on the reverse side hereof and incorporated herein by this reference; Other: All monies or instruments pertaining to the Collateral described above; All accessions, accessories, additions, amendments, attachments, modifications, replacements and substitutions to any of the above; All proceeds and products of any of the above; All policies of insurance pertaining to any of the above as well as any proceeds and unearned premiums porlaining to such policies; and All books and records pertaining to any of the above. UCCIA © John H, Hadand Co. (01/25/99) (800) 937-3799