HomeMy WebLinkAbout01-1416 PARTIES
Debtor name (last name first if individual) and rouging address:
f/B~k~/f~ BRinson, BRIAN
5230 Royal Dr.
Mechanicsburg, PA 17055
I)ebtnr name (last name first if individual) and mailing address:
~iin, No. (~tamped by
FINANCING STATEMENT ~
Uniform Commercial Code Form UCC-1
IMPORTANT-Pleuse read instructions on
reverse side of l,?ge 4 before completing
filing officer): Date, Time, Filing Office (stamped by filing officer):
Debtor name (last name first if individual) a.d mailing address:
la This Financieg Statement is presented for filing pursuant m the Uniform Commercial Code,
and is to be filed with the (check applicable box)
[] Secretary of the Commoawealth.
~.~(~othonotary of C umb e r 1 an d County.
[] real estate records of County.
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Secured Party(les) names(s) (Fast name first if individual) and address
for security interest information:
US1 Flnan ial Senates
RO. Box 1395
Des Moines, IA 50305 ~
Assign~g(s) of Secured Party name(s) (last name first if individual) and
address-for security interest information:
Special Types of Parties (check if applicable):
E~ The terms "Debtor" and "Secured Party" mean '[.essee" and "Lessor,"
respectively.
[] The l~rms "Debtor" and "Secured Party" mean "[:onsignee" and
"Consignor/' respectively.
[] OebtoF iS a Transmitting Utility
3
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 of name, identity ur 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 cogateral 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 aaother jurisdiction-
[]when the collateral was moved ta Pennsylvania.
~when the Debtor's location was moved to Pennsylvania.
e. E~ which is proceeds of the collateral described in block 9, in which a
security ~nterest was greviously perfected (also describe proceeds in
block 9, if purchased with cash proceeds and not adequately
described on the original financing statement).
Secured Party Signature(s)
(required only if box(es) is checked above):
Number of Additional Sheets (if any):
Optional Special Identification (Max. 10 characters):
COLLATERAL
Identify collateral by item and/or type:
1 Serial ¢/ 6722 FRD ~fT
6
7
8
E~ (check only if desired) Prodocts of the collateral are also covered. 9
Identify 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. [] minerals 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 un -
the following real estate:
Street Adgress:
Described at: Book of (check one) [] Deeds [] Mortgages, at Page(s)
for Caunty Uniform Parcel Identifier
[] Described on Additional Sheet.
Name af record owner (reqoired only if no Dehto~ has an interest of record):
fO
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RETURN RECEIPT TO:
~ -~d~ USI Financi~
I-" ~[~d~ RO. Box 1395
Des MOln~, lA
NOTE - This page will not be returned by the Department of State,
(1) FILING OFFICE ORIGINAL
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