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HomeMy WebLinkAbout01-1180 PARTIES DEBTOR name (Last name first if Individual) and mailing address: Cantor & Ziegler Orthodontists LTD 3 Tyler Court Cedisle, PA 17013 DEBTOR name (Last name first if Individual) and mailing address: DEBTOR name (Last name filst it Individual) and mailing address; SECURED PARTY(les) name(s) (last name first if individual) end address for .... COMMERCE SANK/HARRISBURG N.A. 100 SENATE AVENUE CAMP HILL, PA 17011 ASSiGNEE(S) OF SECURED PARTY name{s) (last name first if individual) ~nd FINANCING STATEMENT UNIFORM COMMERCIAL CODE FORM UCC-1 FILING NO. [stamped by filing officer): DATE, TIME. FILING OFF~CE (stamped by filing officer) OPTIONAL SPECIAL IDENTIFICATION (Max. 10 characters): 2~ /~r~b COLLATERAL Identiiy collateral by item end/or tyge; All inventory, Chattel Paper, Accounts, Equipment and General [ntangibles; 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, generai intangibles and other accounts proceeds). SPECIAL TYPES OF PARTIES (Check if applicable): The terms "Debtor' and 'Secured Puny" mean 'Lessee" ~nd 'Lesso¢, respectively. SECURED PARTY SIGNATURE(S) THIS STATEMEN'~ IS FILED WITH ONLY THE SECURED PARTY'S SIGNATURE to pedect a secudty interest in collateral (check applicable when the COLLATERAL WAS MOVED to Pennsylvania. when the DEBTOR'S RESIDENCE OR PLACE OF SUSINESS WAS MOVED to Pennsylvania which is PROCEEDS of the collateral described in black 9. in which a security interest was previously pedeCted (also descdbe proceeds in block 9, if pumhesed with caSh groceeds and not adequately described on the original finenchlg statement). SECURED PARTY S GNATUREiS) {required only ii box(es) [6 checked above): ] (check only if desired) P~Oducts of the collateral are also covered. IDENTIFY RELATED REAL ESTATE, if apglicable. The collateral is. or includes (check appropriate box(es)) -- a. [] CROPSgrowingortobegrownon-- b. [] goods which are to become FIXTURE oQ -- c [] M~NERALS orthelike (including oil and gas) as extracted on -- d [] ACCOUNTS RESULTING FROM THE SALE OF MINERALS orthetike intruding oil and gas) at the we head or m nehaad On -- the Iollowing real estate: STREET ADDRESS: DESCRIBE AT: BOOk of (check one) ~ Seeds b~ Mortgages, at Page{s) __. for _ County. Unifom'~ Parcel Identifier ] DescdbeonAdditionalSheet NAME OF RECORD OWNER (required only if no Debtor haS an interest oi record): DEBTOR SIGNATURE(S) 1D~bt°r Signature{s): _ 11> RETURN RECEIPT TO: COMMERCE BANK/HARRISBURG N.A. 100 SENATE AVENUE 11 4 STANDARD FORM - FORM UCC-1 (7-89) Approved by the Secretary of the Commonwealth of Pennsylvania CAMP HILL, PA 17011 FILING OFFICE ORIGINAL NOTE - This page will not be returned by the Department of State.