HomeMy WebLinkAbout01-126717 PARTIES
Debtor name (last name first if individual) and mailing address:
State Auto Insurance Company
4900 Ritter Road Mechanicsburg PA 17055
Debtor name (last name first if individual) and mailing address:
Debtor name (last name first if individual) and mailing address:
Miller/Davis Co, St. Paul, MN (800) 752-4221
COMMONVO;ALTIt OF pENNSYLVANIA
FINANCING STA~ -U~fo~ C~er~ Code Fo~ UCC-~
~RT~ - Plebe read ~tru~o~ on page 3~fore comping
~ ~o. (sym~ by fil~ officer): Date, ~e, F~g O~ce (s~p~ ~y fil~g
~s ~c~g Statement is presen~d for fil~ pursuant to ~e U~fo~ Co~erci~ Code,
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~d is ~ ~ ~ wi~ ~e (check applicable box):
[] Secretary of the Commonwealth.
Prothonotary of
real estate records of
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Number of Additional Sheets (if any):
Secured Party name(s) (last name first if individual) and address fo'
security interest informadon:
Ervin Leasing Co
3893 Research Park Dr, Ann Arbor, MI 48108
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Assignee(s) of Secured Party name(s) (last tmme first if individual)
and address for security interest information:
County.
County.
Optional Special Identification 0.{ax. 10 characters):
COLLATERAL
Identify collateral by item and/or type:
1 Kinica 7045 Copier s/n 13LL00687
This filingis for information only. The equipment described is subject
to ErvinLeasing Co Lease #17625-65. Lessee is not authorized to
dispose of leased equipment,
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Special 'I~pes of parties (check if applicable):
[] The terms "Debtor" and "Secured Party" mean "Lessee" and
"Lessor," respectively.
[] The terms "Debtor" and "Secured Parry" mean "Consignee" and
"Consignor," respectively.
[] Debtor is a Transmitting Unlity.
SECURED PARTY SIGNATURE(S)
This statement is ~nd 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. F~ as to which the filing has lapsed.
c. already subject to a security interest in another county in
Peansylvatha-
[~ when the collateral was moved to this county.
[~3 when tbe Debtor's residence or place of business was
d. already subject to a security interest in another jurisdiction-
[] when the collateral was moved to Pennsylvania.
[] when the Debtor's location was nmved 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, if purchased with cash
proceeds and not adequately described on the original
SECURED PARTY SIGNATLVRE(S)
Ervin Leasing Co M Mclnhis '
[] (check only if desired) Products of the collateral are also covered. 9
Identify related real estate, il' applicable: Tee cogateral is, or includes (cheek appropriate box(es))-
a. [] crops growing or to be grown on -
b. [] goods which are or are to become fmtures on -
c. [] minerals or the like (Including oil and gas) as ex~cacted on -
d. [] accounts resulting from the sale of minerals or the like (including oil and gas) at the
wellhead or minehand on -
the following real estate:
Street Address:
Described at: Book __ ___ of (check one) [] Deeds [] Mortgages, at Page(s) __ __
for County. Uniform Parcel Idendfer
[] Described on Additional Sheet.
Name of record owner (required only if no Debtor has an interest of record):
DEBTOR SIGNATURE(S)
Debtor Signature(s): _
, _,rrD .
State Auto In%urance C/~mpany M Mclnms Arty. in Fact
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10
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RETURN RECEIPT TO;
Ervin Leasing Co
3893 Research Park Dr, Ann Arbm', MI 48108
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STANDARD FORM - FORM UCC 1 (%89)
Approved by Secretary of Conunonweal~h of Pelmsylvania
NOTE - This page will not be returned by the Department of State.
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