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Home My WebLink About01-1048 PARTIES Debtor flame (last name first if individual} and mailing address: LOWER ALLEN TOWNSHIP 1993 HUMMEL AVENUE CAMP HILL, PA 17011 Debtor name (last name first if i.dividual} and mailing address: Debtor name (last name first if individual( and mailing address: lb Secured Party(les) name(s) (last name first if individual) and address for security Juterest information: PENNSYLVANIA STATE BANK LEASING 2148 MARKET STREET, P.O. BOX 487 C~MP HILL, PA 17001-0487 2 Assignee(s) of Secured Party name(s) (last name first if individual) a .d address for security interest information: FINANCING STATEMENT Uniform Commemial Code Form UCC-1 IMPORTANT -- Please read instructions on reverse side of page 4 before completing Filing No. (stamped by filing officer): Date, Time, Filing Office (stamped by filing officer): ' ,-..,,,, This Financing Statement is presented for filing pursuant t~h~'O'ait~t(~Om~e, rc'~al ¢~e and is to be filed L with the (check applicable box): [] Secretary of the Commonwealth. ~ Prothonotary of C~.~viP, F':RT [] real estate records et Number of Additional Sheets (if any}: Optional Special Identification (Max, 10 characters): 900413 COLLATERAL ldo.lily collateral by item and/or type: County. County, 6 7 8 SEE "EXHIBIT A" ARTACHED. 2a Special Types of Parties (check if applicable): [~1 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 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. [] acquired after a change of name, identity or corporate structure of the Debtor. b. E) as to which the filing bas lapsed. c. already subject to a security interest in another county in Pennsylvama-- I-~ when the collateral was moved to this county. [] when the Debtor's residence or place of business was moved to this cou,ty. 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, it 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 on~y 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. [] goods which are or are to become fixtures on -- c. [] minerals or the like (including oil and gas) as extracted on -- d. [~] acc~untsresu~ti~gfr~mthesa~e~fminera~s~rthe~ike(inc~uding~i~andgas~atthewe~~head~r minehead on -- the fallowing real estate: Street Address: Described at: Book of (check one) [] Deeds [] Mortgages, at Page(s) __ , for County. Uniform Parcer identifier [~ Described on Additional Sheet. Name of record owner (tequrreu Dray it no gebtor has an interest of record(: DEBTOR SIGNATURE(S) Debtor Signature(s): NAME: TITLE: L0 lb RETURN RECEIPT TO: 11 PENNSYLVANIA STATE BANK LF~,SING 2148 MARKET STREETrP.O. BOX 487 CAMP HILL, PA 17001-0487 FILING OFFICE ORIGINAL NOTE -- This page will not be returned by the Department of State. 12 IF THE FILING IS WITH THE DEPARTMENT OF STATE, SEND ONL'(THIS PAGE. DESCRIPTION OF EQUIPMENT Lease No, 900413 "Exhibit A" Vendor: NAPA Auto Parts 392-3023 Headlight Aimer 144-50045 Cut System 1 Headlight Alignment Tool VOC0003201 Vision 100, Model 82005 LOCATION: SIGNATURE: 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 PROCEEDS RELATING TO ANY OF THE FOREGOING (INCLUDING INSURANCE, GENERAL INTANGIBLES AND ACCOUNTS PROCEEDS). 1993 Hummel Avenue, Camp Hill, PA 17011