HomeMy WebLinkAbout01-1808 PARTIES
Debtor name (last name first if individual) and mailing address:
~Mor name (last namo fi~ iadividual) and magin~ a~dross:
Debtor name (last name first if individual) and mailing address:
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Secured Party(les) name(s) (last name first if individual) and address for
security interest information:
Citizens National Bank of
Southern PennsyIvania
35 N. Carlisle St.
Greencastle, PA 17225 2
Assignee(s) of Secured Party name(s) (last name first if individual) and
address for security interest information:
FINANCING STA'IEMENT
Uniform Commercial Code Form UCC-1
IMPORTANT-- Please read instructions on
reverse side of page 4 before completing.
Filing No. (stamped by filing officer): Date Time Filing Off,¢~,(stam ,p~:l~r~y fi nQ off cer
This Financing Statement ~s presented for flhng pursuant to thet~[fmt~cO~q~le~a~ Code, and is
to be filed with the (check applicab~,.box):
~] Secretsry of the Com o~nwealt;. {_
' LJ real estate records of
Number of Additional Sheets (if any):
Optional Special Identification (Max. 10 characters): ~
COLLATERAL
Identify collateral by item and/or type:
County.
County.
6
7
8
2a
Special Types of Parties (check if applicable):
[] The terms "Debtor" and "Secured Pady" mean "Lessee" and "Lessor," [] (check only if desired) Products of the collateral are also covered.
respectively, 9
Identity related real estate, if applicable: The collateral is, or includes (check appropriate box(es)) -
[] The terms "Debtor" and "Secured Party" mean "Consignee" and a. [] crops growing or to be grown on -
"Consignor," respectively, b. [] goods which are or are to become fixtures on -
[] Debtor is a Transmitting Utility. c. [] minerals or the like (including oil and gas) as extracted on -
3 d. [] accounts resulting from the sale of minerals or the like (including oil and gas) at the wellhead
SECURED PARTY SIGNATURE(S) or minehead on -
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 or corporate structure of
the Debtor.
b. [] as to which the filing bas lapsed.
c. already subject to a security isterest in another county in Pennsylvania -
[] when the collateral 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 another jurisdiction - [] when the collateral was moved to Pennsylvania.
[] when the Debtor's location was moved to Pennsylvania·
e. [] which is proceeds of the collateral described in block 9, in which a
security interest was previously 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):
the following reap estate: Street Address:
Described at: Book __ of (check one) [] Deeds [] Mortgages, at Page(s) __
for County. Uniform Parcel Identifier
[] Described on Additional Sheet.
Name of record owner (required only if no Debtor has an interest of record):
Debtor Signature(s):
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DEBTOR SiGNATURE(S)
10
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RETURN RECEIPT TO:
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SBI Loan Center
Atm.: Lien Perf
PO Box 639
Maugansville, MD 21767-0639
STANDARD FORM - FORM UCC-1
Approved by Secretaq/of Commonwealth of Pennsylvania
Banke s Systems, Inc., St Cloud, MN Form UCC-1-PA 1/4/94
FILING OFFICE ORIGINAL
NOTE-This page will not be returned by the Department of State.
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IF THE FILING IS WITH THE DEPARTMEHT OF STATE, SEND ONLY THIS PAGE.