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HomeMy WebLinkAbout01-1621Oebtar~ome/%staeme first;findividaal~and mailing address: Debtor flnme(Isstname firstifiedividualland mailing address; SMI'Z~, $~ILqRN 1154 OYSTER HILL ROAD CAMP HILL, PA 17011 SS#169-44-2548 fa Debtor name (last name first Jf individual) and mailing address; SMITH AMUSEMENTS 1154 OYSTER MILL ROAD CAMP HILL, PA 17011 SS#162-54-4678 lb Secured PartyJies) names(s) (last name first if individual) and address for security interest information: HETSON COIN-OP DISTRIBUTING COMPANY~ INC. DBA BETSON PHILADELPHIA 310 HANSEN ACCESS ROAD #105 KING OF PRUSSIA~ PA 19406 FEI~22-3218489 Assignee(s) of Secured Party name(s) (last name first if individual) and address for security interest informatmn: FIRESTONE FINANCIAL CORP. 38 GLEN AVENUE NEWTON CENTRE, MA 02459 FEI~04-2384603 Special Types of Parties )check if ap¢icable): E] The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor,' respectively. [~ The terms "Debtor" and "Secured Party" mean "Consignee" and "Consignor," respectively. [3 Debtor is a Transmitting utgity. 3 SECURED PARTY SIGNATURE(S) This statement is tiled with aniy the Secured Party's signature to perfect i security interest in cagatera~ (check applicable box(es))- ,. [3 acquired after a change ef name, identity er corporate structure of the Oebtor [~ as to which the filing has lapeed. already subject tn a seeerity interest in another county in PennsWvania- ~whea the collateral was moved to this county. FINANCING STATEMENT Uniform Commercial Cods Farm UCC-1 IMPORTANT-Please read instructions on reverse side of page 4 before completillg Filing No. (stamped by filing officer): gate, Time, Filing Office (stamped by fqing officer): This Financi.g Statement is presented far filing pursuaif~:N[t~'~t~{e~cJal Cede, and is to be filed with the (check applicable box): ' 0 Secretary of ~e Commonwealth. ~Prothonotary of ~T~ County. ~ real estate records of goumy. Number of Additional Sheets (if ony}: Optional Special Identification {Max. 10 characters): COLLATERAL Ida.lily collateral by item and/ar type: ,,,.~'~.,.~,~ SEE ATTACHED SCHEDULE "A" [3 (check only if desirnd) Products of the cogateral am alee covered. 9 Identify related real estate, if applicable: The collateral is, or includes )check appropriate boxies))- a. [3 crops growing or to be grown an - b. [3 goods which are or are to become fixtures on c E] minerals or the like linciading 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 mineheed on - the following real estme: i Street Address: Described at: Book of (check one) E] Deeds ~ Mortgages, at Page(s) for County. Uniform Parcel Identifier [~ Described on Additional Sheet, Name of record owner )required Duly if ne Debtor has aD interest of record): [~when the Debtor's residence er place af business was moved to DEBTOR SIGNATURE(S) tiris C?unty. Debtor Si.~]J~reJs):.//~ / already eob)oct to a security interest iD another )urisdiction- / // /(' ~ ~when the cogateraf was moved to Peensylvani~. ' ~ ~' 1 //~ ~/~ ~when the Debtor's t~cafion was moved to ~nsylv~h]~ ~ ' 3 which is proceeds of the collateral described in block ¢. m ~~~ ~ ~ ~ security interest was previously perfected (alee describe ~eeeds in ~;~%SA ~~ block 9, if purchased with cash proceeds and not adequately described on the original financing statement). Secnred Party Signature(si (r,equired only if box(es)is checked above): tb 'RETURN RECEIPT TO: FIRESTONE FINANCIAL CORP. 38 GLEN AVENUE NEWTON CENTREt MA 02459 f0 f! )ARD FORM - FORM UCC- 1 (7-e9) ~ved by Secretdrv of Commonwealth of Pennsylvania NOTE - This page will net be returned by the Department of State, (1) FILING OFFICE ORIGINAL 12 SCHEDULE 'A' Ail of the coin operated equipment used in connection with the business known as DOUGLAS SMITH AND SHERMAN SMITH DBA SMITH AMUSEMENTS, 1154 OYSTER MILL ROAD, CAMP HILL, PA 17011, including, without limiting the generality of same, the following equipment listed below, together with all after acquired coin operated equipment whether purchases new or in substitution or trade in. No. Description Serial Number 1 ROWM CD 100 F 11243 I MERM MAXX CLASSIC C/TOP 689392 SHERMAN SMITH DBA SMITH AMUSEMENTS