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Home My WebLink About01-1596 PARTIES Debtor name (last name firsl if indedduall and madmg address: CHARLES D. GEPHART SR. 81 BMITI{ ROAD GARDNERS, PA. ]7324 Debtor name (last name first if individual) and rending address: JOANN GEPHART 81 SMITH ROAD GARDNERS, PA. 17324 Debtor name (last name first if individual) and mailing address: lb Secured Party(ins) name(s) (last name first if individual) and address for security interest information: NORTHWEST CONSUMER DISCOUNT COMPANY 717 MARKET STREET SUITE 107 P O BOX 225 L~OYNg PA 17043 2 A§signee(s) of Secured Party na me(s) (last name first if individual) a nd add ress for security interest information: Special Types of Parties (check if applicable): ~ The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor," respective(y. [~] The terms "Debtor" aud "Secured Party" mean "Consignee" and "Consig,or," respectively. [~] Debtor IS a Transmitting Utdity. 3 SECURED PARTY SIGNATURE(S) This statement is filed with only the Secured Party's signature to perfect a security interest in collateral (check app,cable box(es)) -- a. [] acquired after a change of name, identity or corporate structure of the Debtor b [] as to which the filing bas lapsed. c. already subject to a security interest in another county in Pennsylvama-- [] when the coDateral was moved to this county [] when the Debtor's residence or place of business was moved to this county. d already subjec~ to a security interest in a.other jurisdiction-- [~] when the collateral was moved to Pennsylvania. [] when the Debtor's location was moved to Pennsylvania e. [] which is proceeds of the collateral descDbed in block 9. in which a -- security interest was preuiooaly perfected (also describe proceeds in block 9, if purchased with cash proceeds and not adequately described on the original bnanci,g statement). Secured Party Signature(s) (required only if box(es) is ch~cked above): FINANCING STATEMENT Uniform Commercial Code Form UCC-t IMPORTANT -- Please read instructions on reverse side of page 4 before completing Filing No. (stamped by filing oiticer): Date, Time, ribes Office (stamped by b)ing officer): ucc-/ 1 Fbis Financing Statement ia presented for filing pursuant to the Uniform Commercial Code, and is to be bled with the )check apphcab)e box): [] Secretary of the Commonweadb [] Prothonotary of CUMEER~A. ND~ .... County. [] real estate records of County. Number of Additional Sheets (d any): Optional Special Identification (Max, ]0 characters): COLLATERAL Identify collateral by item and/or type: 88 COLONY/PARK MH TITLE #40494510901 GE VIN # 03CPLPi0661 220191 6 7 g [] (check only d desired) Products 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 b~ grown on -- b. [] goods which are or are to become fixtures on -- c [] minerals or the tike (including oil and gas) as extracted on -- d. [] ac~~untsresu~ti~gfr~mt~esa~e~fminera~s~rthehke~inc~uding~iFandgas)atthewe~~head~r minehead on -- the fo)lowing real estate: Street Address: Described at: Book _____ of (check one) ~] Deeds [] Mortgages, at Page(s) __ for __ County Undorm Parcel identifier [] Described on AddiDonaF Sheet Name of record owner (required only if no Debtor has an interest ol record): DEBTOR SIGNATURE(S) lb RETURN RECEIPT TO: 10 I1 NORTHI...~ST CONSUMER DISCOUNT COMPAZ,.qE 717 FLA. RKET ST~ET SUITE 107 P 0 BOX 225 LEMOYNE PA 17043 4 t2 FILING OFFICE ORIGINAL NOTE"THIS PAGE WILL NOT BE RETURNED BY THE DEPARTMENT OF STATE. IF THE FILING IS WITH THE DEPARTMENT OF STATE, SEND ONLY THIS PAGE.