HomeMy WebLinkAbout01-0995 PARTIES
DEBTOR name (Last name first if Individual) and mailing address:
LR Four Roofing Company, Inc.
240 Locust Point Road
Mechanicsburg, PA 17055
DE BTOR name (Last name first if IndividulU)and mailing address:
DEBTOR name (Last name first if Individual) and mallingaddress:
SECURED PARTY(les) name(s) (last name first if individual) and address for
security Interest In f ~:'rnation;
PENNSYLVANIA STATE BANK
91 Cumberland Parkway
Mechanicsburg, PA 17055
FINANCING STATEMENT
UNIFORM COMMERCIAL CODE FORM UCC-1
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ASSIGNEE(S) OF SECURED PARTY name(s)(last name first if Individual)and
address for security interest information:
FILING NO. (stamped by filing officer):
DATE, TIME.~.FILING OFFICE
, (~t arl~ ~b y filing officer)
This FINANCING GTATEME NT Is presented for filing pur suath~ t{~ tJ~e Ur~lf o['rn C o~ln ei:~l~ {~,
and
COLLATERAL
(1) Genie 60 foot manlifi with 8 foot basket Serial Y/'S60-360; whether any of the
any of the foregoing; all proceeds relating to any of the foregoing (includin9 insurance,
SPECIAL TYPES OF PARTIES (Check If applicable):
[ ~
Debtor Is a Transmitting Utility
SECURED PARTY SIGNATURE(S)
respectively.
THIS STATEMENT IS FILED WITH ONLYTRE SECURED PARTY*S
SIGNATURE to perfect a security interest in co[lat er;U (check applicable
box(es)) --
[] ACQUlRED AFTER A CRANGE OF NAME, IDENTITY OR
CORPORATE STRUCTURE of the Debt~3~.
[] as to which the filing has lapsed.
c. already subject to a security Interest in ANOTHER COUNTY in Pennsylvania
] when t he COLLATERAL WAS MOVE D to t his county,
] when the DEBTOR'S RESIDENCE OR PLACE OF BUSINESS
WAS MOVE D to this county.
d. already subject to a security interest in ANOTHER JURISDICTION --
] when the COLLATERAL WAS MOVED to Pennsylvania.
] when the OEBTOR'S RESIDENCE OR PLACE OF BUSINESS
WAS MOVED to Pennsylvania.
[] which Is PROCEEDS of the collateral described in block 9, In
which a security interest was previously perfected (also describe
proceeds in block 9, ~f purchased with c~sh proceeds and not
adequately described on the original financing statement),
SECURED PARTY SIGNATURE S):
(required on y f box es s checked above):
] (check only If desired) Products of t he collateral are also covered.
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I DE NTIFY RELATE D REAL ESTATE, if applicable. The collateral is, or includes (check appropriate
box(es)) --
a. [] CROPSgrowingortobegrownon--
b. [] goods which are to become FIXTURE on--
c. [] MINERALSo~thelike(includingoiland~as)asextractedon--
d. [] ACCOUNTSRESU[.TINGFROMTHESALEOFMINERALSorthelike(includingollandg&s)
at the wellhead or minehead on-- --
the following real estate:
STREET ADDRESS:
DESCRIBEAT:BOOK of(checkone) [] Deeds[] MoHgages, atFage(s)
for County. Uniform Parcel Identifier
] Describe on Additional Sheet
NAME OF RECORD OWNER (required only if no Debtor has an interest of record):
DEBTOR SIGNATURE(S)
Debtor Signature(s):
Linden R. Gales, IV, President, LR Four Roofing Company, Inc.
1;[
STANDARD FORM - FORM UCC-1 (7-89)
Approved by the Secretary of the Commonwealth of Pennsylvania
RETURN RECEIPT TO:
PENNSYLVANIA STATE BANK
2148 Market Street
P.O. Box 487
lC~ qC~m_~Tlll, PA :700,-Oi,?j~
FILING OFFICE ORIGINAL
NOTE - This page will not be returned by the Department of State,
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