HomeMy WebLinkAbout01-1127......... P~RTIES -
Debtor name [la~t name first if indivipeag and mailing address:
Reith L Weaver
f22 Rod Shed Road
Shippeeahurg, PA ! 7257
Debtor name (lost name first if individuol} and mailinR address:
Debtor name (lost name first if individual) and mailing address:
?ac
WEAVERLAND FINANCIAL AID
1601 LINCOLN ROAD
LITITZ PA 17543
Assignee(s) of Secured Party name(si (last name first if individual) and
address for secudty interest information:
?b
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Special Types of Parties (Check if applicable):
["]The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor",
respectively.
r-lThe terms "Debtor" and "Secured Party" mean "Consignee" and "Consignor**,
respectively.
[] Debtor is a Transmitting Gtffity, 3
SECURED PARTY SfGNATUREiS}
This statement is filed with only the Secured Party's signature
to perfect a security interest in cogatara) Icheck applicable box(as)).
a. J-lacquJred after a change of name, identity or corporate strocturo
cf the Debtor.
b. {'"las to which the filing has lapeed.
c. almedy subject to n security interest in another county in Pennsylvania-
[]when the collateral was moved to this county.
[]when the Debtor's residence or place of business was moved
to this county.
d. aUeedy subject to a security interest in another iudsdiction -
I']when the collateral was moved to Pennsylvania.
["]when the Debtor's location was moved to Pennsylvania.
e, T'lwhich is proceeds of the collateral described in block 9, in
which a security interest was previously perfected (also describe
proceeds in b~ck 9, if purchased with cash proceeds md not
adequately described on the original financing statement).
Seoured Par~y Sigrmture(s}:
}Required only if box(esl Js checked abovel:
EINANCIAL STATEMENT
Uniform Corsmercicl Code Form UCC-T
IMPORTANT- Please read instructions before corrpicting
Filing No. (starsped by filing officer}: Date, Time, FUing Office (stamped Dy fll~g officer)
to be filed with the (chock applicabic hex}: .... , ~, ....
~Prothonotary of__~O~ ~/~ ~ County.
~ial MentificaUpn
All prope~ of Debtor described herein, now owned ~d bare.er acquired:
(1) Items per Exhibit
121 MI funds ~d o~er prope~' of the ~btor now or at ~y time hereaaer on deposit wi~ or in ~e
possession, custody or control of the Secured P~ or its agents or now or hereafter owing by
the Secured P~ to the Debtor or now or hero.er moagaged, Uened, pledged or secured in favor
_~[~](check only if desired} Products of the cedotjral are also covered.
Identify related real ~tate if applicable. The colfataral is, or includes (check appreddata box(es}.
a. ~"~orops growing or to be grown on-
b. []goods which are or are to become fixture
c. i-']minerals or the like (i~cludi~g oil and gas~ as extracted
d. ~accounta r~ulting froro the sale of minerals or the like {iccicding
wellhead or mineheed on ·
the foJicwing mai ~tate:
Str~ AddleS:
D~cribe at: Book of (check one) ~Deeds ~Mo~gag~, at Pageis).
fo~ County. Uniform Panel Identificr
~'1 Described on Additional Sheet.
Name of record owner (required only }f no Debtor has an interest of record}:
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DEDTDR SIGNATUREIS)
Debtor Signature(s):
Kegh L Weaver
lb
RETURN RECEIPT TO:
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WEAVERLAND FINANCIAL AID
MARK MARTIN
~yt~:e Secretary of the CommonweaTth of Pennsylvania
1601 LINCOLN ROAD
- LITITZ PA 17543
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