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HomeMy WebLinkAbout01-1254TH*S SPACE FOR USE OF F,L,NG OFF,CER FINANCING STATEMENT -- FOLLOW INSTRUCTIONS CAREFULLY This Financing Statement is presented for filing pursuant to the Uniform Commercial Code and will remain effective, with certain exceptions, for ti veam from date of illin.. A. NAME& TEL. # OF CONTACT AT FILER(optional) B. FILING OFFICE ACCT. # (optional) C. RETURN COPY TO: (Name and Mailing .Address) The CIT Group/Equipment Financing, Inc. I D.OPTIONAL DESIGNATION[if applicable]; i-I 1. DEBTOR'S EXAC~i' FULL LI~GAL I[IAME - OR l.a ENTITY'S NAME Womex, Inc. lb. INDIVIDUAL'S LAST NAME lc. MAILING ADDRESS P. O. Box 337 ld. S.S. OR TAX I.DJ OPTIONAL ADD'NL INFO RE ENTITY DEBTOR P.O. Box 27248 Tempe, AZ 85285-7248 Attn: R.Burnett LESSOR/LESSEE [] insert only one debtor name (la or lb) le. TYPE OF ENTITY FIRST NAME CITY Grantham If. ENTITY'S STATE OR COUNTRY OF ORGANIZATION 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) OR 2.a. ENTITY'S NAME 2b. INDIVIDUAL'S LAST NAME FIRST NAME 2c. MAILING ADDRESS CITY 2d. S.S OR TAX I.D.~ OPTIONAL 2e. TYPE OF ENTITY I 2f. ENTIT¥'S STATE / ADD'NLINFORE I OR COUNTRY OF ENTITY DEBTOR ORGANIZATION CONSIGNOR/CONSIGNEE r-I NON-UCC FILING MIDDLE NAME J SUFFIX I STATE J COUNTRY I POSTAL CODEpA 17027 lg. ENTITY'S ORGANIZATIONAL I.D.#,if any [] NONE MIDDLE NAME J SUFFIX STATE I COUNTRY I POSTALCODE 2g. ENTITY*S ORGANIZATIONAL LD.#.if any NONE 3. SECURED PARTY'S (ORIGINAL SIP OR ITS TOTAL ASSIGNEE) EXACT FULL LEGAL NAME - insert only one secured party name (3a or 3b) 3.a. ENTITY'S NAME The CIT Group/Equipment Financing, Inc. 3b, INDIVIDUAL'S LAST NAME FIRST NAME 3c MAILING ADDRESS CITY P.O. Box 27248 Tempe 4. This FINANCING STATEMENT covers the following iypes or items of property: One (1) Bomag Model BW213D-2 Roller, S/N 109400270318U And all additions, substitutions, attachments, replacements and accessions thereof, plus the proceeds of all the foregoing. MIDDLE NAME I SUFFIX STATE J COUNTRY J POSTALCOCE AZ 85285-7248 U MARYLAND: DEBTOR'S PRINCIPAL pLACE OF BUSINESS IN MARYLAND IS IN OR CHECK IF DEBTOR HAS NO PLACE OF BUSINESS OR RESIDENCE IN MARYLAND THIS TRANSACTION (IS)0S NOT) SUBJECT TO RECORDATION TAX. IF SUBJECT TO TAX, PRINCIPAL AMOUNT OF DEBT INITIALLY CURRED IS . ~]~ TENNESSE£: MAXIMUM PRINCIPAL INDEBTEDNESS FOR TENNESSEE RECORDING TAX PURPOSES IS 5, CHECK U a)Th~sF~NANC~NGSTATEMENTissignedbyth~Secur~dPa~Winstead~fth~D¢b~rt~p~rf¢¢~a~¢urityi~erest~i~ate~ I ~filed in Florida (checkone) (if applicable) changed lo this sl~ll~, or (b) in acc~rd~¢¢ wire, her s~*um~rovisions (additional data may be r~quir~d] I stamp tax paid tax not applicable 6. REQUIREDSIGNATURE(~'j~ x~' ~ ,~ ~ //~'/ ~ 8-1-I This FINANCING STATEMENT is to be filed [f°rmc°rd] Womex, Inc. t~' /-/ ~' ~ d~ ~/ ~,/.~/'. ~ ,_ (or recorded) in the REAL ESTATE RECORDS ~/....~'~_.~ / ~' ~ /./~' ~---~'), ,. Attach Addendum [h~ applicable] [ADDITIONAL FEE] (optional) FlAil Debtors ~-I Debtor 1 [] Debtor 2 Page I of 1 24 If (7/98) Nationa~ Financing Statement (Forrn UCC1) ~,~-~=~-