HomeMy WebLinkAbout01-1824 PARTIES FINANCING STATEMENT
Debtor name (last name first if individual) and mailing address: Uniform Commercial Code Form UCC-1
IMPORTANT -- Please read instructlens on
Brushstrokes Pius, Inc. reverse side of page 4 before completing.
P.O. Box 26 Filing #o. (stamped by filing officer): Date,.Time,..-FHing Office (stamped by filing officer):
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Mechanicsburg, PA 17055 0 1 -- J~~ ~,¢._C_¢-~,~ ' ' ..... .,'"-'~,
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Debtor name (last name first if individual) and mailino address:
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This Financing Statement is'prese~'~d for ~~~'~ Uniform Commercial Code, and is
la to be filed with the (check applicable box):
Debtor name (last name first if individual) and mailing address: I-1 Secretary of the Commonwealth.
[X'I Prothonotary of Cu mb e r.1. a n d County.
~-1 real estate records of County.
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lb #umbor of Additional S#eots (if any): 7
Secured Party(les) name(s) (last'name first if individual) and address for Optional Special Identification (Max. 10 characters): 8
security interest information: COLLATERAL
THE PEOPLES STATE BANK Identify collateral by item and/or type:
100 East King Street
East Berlin PA 17316
2' Ail accounts, contract r±ghts, ±nventory,
Assigoee(s) of Secared Party name(s) (last name first if individual) and equ±pment, chattel paper, £±xtures and general
address for security interest information: ±ntang±bles now ex±st±ng or hereafter ar±s±ng
and all cash and non-cash proceeds thereof.
2a
Special Types of Parties (check if applicable):
J--] The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor," EX] (check only if desired) Products of the collateral are also covered.
respectively. 9
Identify related real estate, if applicable: The collateral is, or includes (check appropriate box(es)) -
'E~] 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 -
E~] Debtor is a Transmitting Utility. c. [--] minerals or the like (including oil and gas) as extracted on -
3 d. r-] 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 pedect a the following real estate:
security interest in collateral (check applicable box(es))- Street Address:
a. J-'] acquired after a change of name, identity or corporate structure of Described at: Book ~ of (check one) r-] Deeds [-'] Mortgages, at Page(s) ,
the Debtor. for County. Uniform Parcel Identifier
b. E~] as to which the filing has lapsed. ['-] Described on Additional Sheet.
Name of record owner (required only if no Debtor has an interest of record):
c. already subject to a security interest in another county in Pennsylvania -
10
r-] when the collateral was moved to this county. DEBTOR SIGNATURE(S)
J-"'] when the Debtor's residence or place of business was moved to
this county. Debtor Signature(s): ~~_~, ~C..
d. already subject to a security interest in another jurisdiction - 1 By: ~./~"~~,~~_~
['-'] when the collateral was moved to Pennsylvania.
r-'] when the Debtor's location was moved to Pennsylvania. Freder'i ok A. Crook, President
la
e. J--] which is proceeds of the collateral described in block 9, in which a
security interest was previously pedected (also describe proceeds in
block 9, if purchased with cash proceeds and not adequately lb 11
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described on the original financing statement). RETURN RECEIPT TO:
Secured Party Signature(s)
(required onlyif box(es)is checked above)' The Peoples State Bank ---
ATTN' Chris 0rndorff
100 East King Street
East Berlin, PA 17316
4~
STANDARD FORM - FORM UCC-1
Approved by Secretary of Commonwealth of Pennsylvania
Bankers Systems, Inc., St. Cloud, MN Form UCC-l-PA 1/4/94
FILING OFFICE ORIGINAL
NOTE-This page will not be returned by the Department of State.