HomeMy WebLinkAbout01-1457 PARTIES
Farre]l PJastic Surgery, P.C.
2025 Technology Parkway, Suite 204
Mechanicsburg, PA 17055
DEBTOR name {Last name first if Individual)and mai~ing address:
DEBTOR natne (Lasl name first if individu;d)and mailing address:
FINANCING STATEMENT
UNIFORM COMMERCIAL CODE FORM UCC-1
FILING NO. {stamped by filing officer):
DATE, TIME, FILING OFFICE
(stamped Dy filing officer)
ThlsEiNANOINGBTATEMENTIspresened or Ingpursuan o heUnUormCommercialCode, andis
lo be filed with the (check applicable box):
SECURED PARTY(ieS) name{s) (lAst name first if individual) and Address for
security interest Information:
PENNSYLVANIA STATE BANK
91 Cumberland Parkway
Mechanfcsburg, PA 17055
2
ASBIGNEE(S) OF SECURED PARTY name(s) (last name first if individual)and
address for security interest information:
See Attached Exhibit .... to UCC Fmancmg Statement da.iLl, arch-- ~2001~..:"~' ' '
SPECIAL TYPES OF PART~ES (Check if applicable):
Debtor is a TransmitIIng Uhlity
3
SECURED PARTY SIGNATURE(S)
THrS STATEMENT ~S FrLED WITH ONLY THE SECURED PARTY'S
SIGNATURE to perfect a security interest in col Jar eral {check applicable
SECURED PARTY SIGNATURE S~:
requredony box(es) is checked above):
] {check only If desired) Products of the collateral are also covered.
9
IDENTIFY RELATE D REAL ESTATE, If a. pprica ble. The collar erar is, or incrudes (check appropriate
box(es)) --
DESCRr[~EAT:Book__of(checkone) [] DeedsE~ Mortgages, atPage(s)__
DEBTOR SIGNATURE(S)
Leo D. Farrell, Pre Farrell Plastic Surgery, P.C.
PENNSYLVANIA STATE BANK
2148 Market Street
P.O. Box 487
Camp Hill, PA 17001-0487
STANDARD FORM - FORM UCC-1 (7-89)
Approved by the Secretary of the Commonwealth of Pennsylvania
ch. # 1600 , ,
FILING OFFICE ORIGINAL
NOTE - This page will not be returned by the Department of State.
EXHIBIT TO UCC-1 FINANCING STATEMENT
DEBTOR:
Farrell Plastic Surgery, P.C.
MAILING ADDRESS:
2026 Technology Parkway, Suite 204, Mecbenlcsburg, PA 17055
March 9, 2001
COLLATERAL DESCRIPTION:
All Invento~J, Accounts, Equipment, General Intangibles and Fixtures; whether any of the foregoing Is owned now or acquired later; all
accessions, eddlflons, 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, general Intangibles and other accounts proceeds)..
This Financing Statement Is to be recorded In the real estate records. Some or all of the collateral is located on the following deecrlhed real
estate:
This Exhibit is executed on the same date as the UCC-1 Financing Statement by PEN~YLVANIA STATE BANK and the undersigned.
Leo D. FarreJl, President /'/' / PENNSYLVANIA STATE BANK
Signatu (~of Debtor(s) ~ Slgna~e(s) of Secured Party (les)