HomeMy WebLinkAbout01-0996 PARTIES
Debtor name (last name first if individual) and mailing address:
Drew O. Stoken MD
338 Alexander Springs Road
Carlisle PA 17013
Debtor name (iasc name first if individual) and mailin9 address:
Debtor name (last name first if individual) and mailin9 address:
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Secured Party(les) names(s) (iasc name first if individual) and address
for security interest information:
Susquebanc Lease Company
2 Market Square 2nd Floor
P OBox 8
Manheim, PA 17545 2
Assignee(s) of Secured Party name(s} (last name first if individual) and
address for security interest information:
FINANCING STATEMENT
Uniform Commercial Code Form UCC-I
IMPORTANT-Please read instructions on
reverse side of page 4 before completing
Filing No. (stamped by tding officer):
Date, Time, Filing Off ce jstawpqd by filing officer):
This Financing Statement is presented [or filing pursuant to tim Uii~C~i;'~l/r~'~i~:(~bde,
and is to be filed with the (check applicable box)
[] Secretary of the Commonwealth.
~ Prothonotary of ~"land County.
r~ real estate records of County.
Number of Additional Sheets (if any):
Optional Special Identification {Max. 10 characters): 10687732-1
COLLATERAL
Identify collateral by item and/or type:
6
7
8
1 ea. Toshiba 2060 Photocopier Serial ~CSK006220
2a
Special Types of Parties (check if applicable):
]~ The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor,"
respectively,
[] The terms "Oebtar" and "Secured Party" mean "Consignee" and
"Consignor," respectJvely~
[] Debtor is a Transmitting Utility
3
SECURER PARTY SIGNATURE{S)
This statement is filed with only the Secured Party's signature to perfect
a security interest in collateral (check applicable box(es))-
a E~ acquired after a change of name, identity or corpurate structure of
the Debtor
h. [] as to which the filing has lapsed.
c. already subject to a security interest in annther county in PennsylYania-
[]when the collateral was moved to this county.
[~when the Debtor's residence or place 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 Debtors 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 bos(es) is checked above):
Susquebanc Lease Co.
STANDARD FORM FORM UCC-1 (7 89)
Approved bv Secretary of Commol~wealth of Pennsylvania
The equipment is owned by Secured Party and leased to
Debtor under a lease dated2/9/O1 ; such equipment to
be located at the real estat'e 'described below.
[] (cheek 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, [] 9ODDS 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 of minerals or the like (including oil and gas) at the wellhead or
minehead on -
the fogowing real estate: 338 Alexander SPrings Road
Street Address; Carlisle PA 17013
Described at: Book of (check one) [] Deeds [] Mortgages, at Page(s)
for Cka/lbe~l~--~d-- County Uniform Parcel identifier
[] Described on AddJfional Sheet
Name of record owner (required only if no Debtor has an interest of record):
DEBTOR SIGNATURE{S)
Debtor Signature(s): S~sc]u. eb~c Lease Co.
Don Rohfer, Asszstant Secretary, Attorney-in-Fact for
laPrint Name Title
Drew J. Stoken MD
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RETURN RECEIPT TO:
1(
Susquebanc Lease Company
2 Market Square 2nd Floor
P OB ox 8
Manheim, PA 17545
NOTE - This page will not be returned by the Department of State.
(1) FILING OFFICE ORIGINAL