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Home My WebLink About01-0973(' IMONWEALTH OF PENNSYLVANIA- I' ~1 PARTIES Debtor name (~ast name first {f individual) and ma{ling address: 60 Sharon Road Enota, PA 17025 1 Debtor name (lastname firstifJndJviduat) and mailing address: Debtor name (last name first if individual) and mailing address: lb Secured Party(ies) name(s) (last name first if individual) and address for security interest information: Community Sanka, 6700 Perry Street Harrisburg, PA 17111 2 Assignee(s) of Secured Party name(s) (last name first if individual) and address for security interest information: Special Types of Parties Icheck if applicable): The terms "'Debtor" and "Secured Party" mean "'Lessee" and "Lessor, "respectively. E~ The terms "Debtor" and "Secured Party" mean "Consignee" and "Consignor"', respectively. ~ Debtor is a Transmitting Utility, 3 SECURED PARTY SIGNATURE(S) 'This statement is filed with only the Secured Party's signature to perfect a security interes~ 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 fi~ing has lapsed c already subject to a security interest in another county ~n Pennsylvania - ~ whe~ the co})ateral was moved to this county ~ when the Debtor's residence or place of business was moved to this county d already sub)ecl to a security interesl in another jurisdiction - ~when the collateral was moved to Pennsylvania. ~when the Debtor's Iocadon was moved to Pennsylvania e ~ which is proceeds ot the collateral described in block g, in which a security interest was previously perfected (also describe proceeds in btocl< g, if purchased with cash proceeds and not adequately described on the original financing statement} Secured Party Signature(a) (required only if box(es) is checked above): 4 FINANCING STATEMENT Uniform Commercial Code Form UCC-1 IMPORTANT-Please read instructions on reverse side of page 4 before~) : Filing No. (stamped by filing officer): Date, Ti~e; Piling office (~tampe~.~'fi~ing officer) This Financing Statement is presented for filing pursuant to the Uniform Commercial Code, and is to be flied with the (check applicable box): ~ Secretary of the Commonwealth. ~ Prothonotary of-Cumberland _County. ~-1 real estate records of County. 6 Number of AddltionalSheets (if any): 1 7 Optional Special Identification (Max. 10 characters): COLLATERAL Identify collateral by item and/or type: SEE ATTACt~M£NT A ~ (checkonlyifdesired) Prcductsofthecollateralarealsocovered. 9 Identify related real estate, if applicable: The collateral is, or includes (check appropriate box(es)) - a ~ c(ops growing or to be g(own on - b ~ goods which are or are to become fixtures on - c ~ minerals or the like (including oil and gas) as extracted on - d ~ accounts resulting from the sale ol minerals or the like (inc)uding oil and gas) at the wellhead or minehead on - the foik3wing mai estate: Street Address: Described at: Book of (check one) [~ Deeds ~-~ Mortgages, at Page(s) for County. Uniform Parce~ identifier ~ Described on Additional Sheet~ Name of record owner (required only if no Debtor has an interest of record): 10 DEBTOR SIGNATURE(S) Debtor Signature(s): lb 11 RETURN RECEIPT TO: Community Banks, N.A. 2796 Old Post Road ~arrisburg, PA 17110 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 flied 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 filer. This number or letter code will appear on the receipt for this form that you wiil 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. Pleasecheck 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 fetter 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. Con]munitv Banka, N.A. 6700 Det'c~' Street (800) 331-8362 "LENDER" UCC-1 ATTACHMENT A Debtor's Name and Mailing Address: c ~ ~,~ ~ 60 Sharon Road Enola, PA 17025 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": t~ All accounts and contract rights iocluding, but not limited to, any accounts and contract rights described on Schedule Ace the reverseside hereof and incorporated herein by this reference; ,Alt chattel paper including, but not limited to, any chazle/ 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 reverse side hereof and incorporated herein by this reference; All fixtures including, but net 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 herain 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; Alt minerals ar the like and accouets resulting from sales at the wellhead or minehead located an ar related to the real proper~y described on Schedule B an the reverse side hereof and incorporated herein by this reference; ~ Ali standing timber which is to be cut and removed under e 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: A~I monies or instruments pertaining to the Collateral described above; Ail 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 pedaining to any of the above as well as any proceeds and unearned premiums pertaining to such policies; and All books and records pertaining to any of the above. UCC1A ~) Jotln H Hat, and CO. (01/25/99) (800) 957-3799 UCC2A @ John H Hs~ar~d Co (01/25/99) (800) 937-3799