HomeMy WebLinkAbout01-1131 PARTIES
Debtor name (last nRme first if indj.vidual) and m~iling address:
Debtor name (last name first if individual) and mailing address:
lb Number of AddiDooal Sbeet~ (if any):
Secured Party(ies) name(s) (last name first if individual) and address for Optional Special Identification (Max. 10 characters):
security interest information: COLLA'[ERAL
Fulton County National Ba~lk & Trust Coml~an?IdenOfyc°llateralbyitemand/°rtype:
100 LWE
NcConnellsburg, PA 17233 2
Asslgnee(s) ofSecuradPa~ name(s)(laatnamefirstifindividual)and
~dress for security interest information:
FINANCING STATEMENT
Uniform Commemial Code Form UCC-1
IMPORTANT -- Please read instructions on
reverse side of page 4 before committing.!
Filing NO. (stamped by filing officer): Date, Time, F!lJa~'~lfflce (stamped by filing officer):
This Financing Statement is presented for filing pursuant to th~-~nifor~,'~;ommhr{~ial Code, and is
to be filed with the (check applicable box):
[] real estate records of County.
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IL 65351 S
2a
Special Types of Parties (check if applicable):
[] 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.
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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 ol name, identity or corporate structure of
the Debtor.
b. [] as to which the filing has lapsed.
c. already subject to a 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. 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 pedected (also describe proceeds in
· block 9, if purchased with cash proceeds and not adequately
described on the original financing statement),
Secured PaTty Signature(s)
(required only if box(es) is checked above):
[] (check only if desired) Products of the collateral are also covered· 9
Identity 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. [] mlnersts 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 following real estate:
Street Address:
Described at: Book __ of (check one) [] Deeds [] Mortgages, at Page(s)
for County. Uniform Parcel Identifier
[] Described on Additional Sheet.
Name of record owner (required only it no Debtor has an interest of record):
DEBTOR SIGNATURE(S)
10
lb
RETURN RECEIPT TO:
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Fulton County National Bank & Trust Company
100 LWE
PO Box 38
McConnellsburg, PA 17233
STANDARD FORM - FORM USC-1
Approved by Secretary of Commonwealth of Pennsylvania
~ankers Systems, Inc., St. Cloud, MN Form UCC-1-PA 1/4/94
FILING OFFICE ORIGINAL
NOTE-This page will not be returned by the Department of State,
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IF THE FILING IS WITH THE DEPARTMENT OF STATE, SEND ONLY THIS PAGE.