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
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Debtor name (last name first Jf individual) and mailing address;
SMITH AMUSEMENTS
1154 OYSTER MILL ROAD
CAMP HILL, PA 17011
SS#162-54-4678
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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