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HomeMy WebLinkAbout01-0787 PARTIES DEBTOR name (Last name first if Individual) and mailing address: Heritage Medical Group, L.L.P. 1007 Mumma Road WormleysPurg, PA 17043 DEBTOR name (Last name first if Individual) and mading address: DEBTOR name (Last name first if Individual) and mailing address: SECURED pARTY0es} name(s) (last name first if individual) and address for secu dty interest info.nation: COMMERCE BANK/HARRISBURG N.A. 100 SENATE AVENUE CAMP HILL, PA 17011 ASSIGNEE(S) OF SECURED PARTY name(s) (last name first if individual) and address for secudty interes~ information: SPECIAL TYPES OF PARTIES (Check if apglicable); The terTns "Debtor" and "Secu red party" moan "Lessee' and "Lessor', respectively. Debtor is a Transmitting Utility SECURED PARTY SIGNATURE(S) THIS STATEMENT IS FILED WITH ONLY TRE SECURED PARTY'S SIGNATURE to perfect a secudty interest in collateral (check applicabJe box(es)) - r~ 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 }n Pennsylvania [~ when the COLLATERAL WAS MOVED to this county. ] wllen the DEBTOR'S RESIDENCE OR PLACE OF BUSINESS WAS MOVED to ~his county. d already s ublect to a security interest {n ANOTHER JURISDICTION -- when the COLLATERAL WAS MOVED to Pennsylvania. when the DEBTOR'S RESIDENCE OR PLACE OF BUSINESS WAS MOVED to Pennsylvania. SECURED PARTY SiGNATURE(S): (required only if box(es) is checked above): FINANCING STATEMENT UNIFORM COMMERCIAL CODE FORM UCC-1 FILING NO. (stamped by filing officer): preso.t0d O ]i~g pumuant 0 be Un~r~l~.,~fl~u~a~d s This FINANCING STATEMENTis ~ Secretary of t he Commonwealth, ] Prothonotary of County. Cumberland COLLATERAL 2 All Inventory, Chattel Paper, Accounls, Equipment, General intangibles and Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing; all prcceeds relating to any of the foregoing (including insurance, general intangibles and other accounts proceeds). This Financing Statement is to be recorded in the real estate records. Some or all of the collateral is located on the following describsd real estate: bo×(es)) -- DESCRIBE AT: Book of (check one) ~J Deeds ~j Mortgages, at Page(s) . DEBTOR SIGNATURE(S) Debtor Signature(s): Dr. Joseph~;~.:.Clncotta,M.D., Chairman of the Board/Partner RETURN RECEIPT TO: COMMERCE BANKJHARRISSURG N.A. 100 SENATE AVENUE 11 CAMP HILL, PA 17011 STANDARD FORM - FORM UCC-1 (7-89) FILING OFFICE ORIGINAL Approved by the Secretary of the Commonwealth of Pennsylvania NOTE - This page will not be returned by the Department of State.