HomeMy WebLinkAbout01-1832 · . FINANCING STATEMENT
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~--' .... '": ....... PARTIES Uniform Commercial Code Form UCC-1
iMPORTANT-Please read instructions on
O'"'ebtor name (last name fi'--~-'---~st if individual) and mailing address: reverse side (,f page 4 before completinL~_-~.~-~-~-~-~'~
~~_~ ~% , ~ '~.'-"~(,,~4~.~ ..~ Filing No. (stamped by filing officer): Oats, Ti--'-me'-'~'Filing Office (stamped by filing officer):
7"L~. o ~- I ~ 3 ~ k ~ ~ ~.~.~.-...
DeMor name {last name ma~ ~;s; ,.. ,'. ,_ _.
' . /I ............ ~,.,.=.., i~ nr~sented for ~iRg ~~ ~':.~rm Commercial Code,
' - ' · ~~ ~ la ~"
i )and mailing address: i u~ ~e;e;':";~ ~;'co~onwealth., [ - /
1 ~ becreLU~y u~ ...... ~': ..... :-:-' ~ .... . ./~ /)~ County.
of ~ __ County.
estate records of 6
1 b Number of Additional Sheets (if any):_ ~ .... ~
~p~ ~ti~~ ~ax. 10 characters '
Secured h~y{ies) names(s) (last name first if individual) and address COlLaTERAL
for security interes~ information: ~ ~.~C~ Identify collateral by item and/o~ type:
address for security interest in~ ~ation: ,
.
~s a Part~cable): :~ ~ '{~"'~ ~ ~''~
~ The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor," 9
respectively. ~ (check only if desired) Products of the collateral are also covered.
~ The terms "Debtor" and "Secured Party" mean "Consignee" and Identify related real estate, if applicable: The collateral is, or includes (check appropriate box(es))-
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 or
..?;; minehead on -
'~ SECURED PARTY SIGNATURE(S)
This statement is filed with only the Secured Party's signature to perfect the following real estate:
a security interest in collateral (check applicable box(es))- Street Address:
a. ~ acquired after a change of name, identity or corporate structure of Described at: Book of (check one) ~ Deeds ~ Mortgages, at Page(s)
the Debtor. for ~ County. Uniform Parcel Identifier
b. ~ 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):
10
c. already subject to a security interest in another county in Pennsylvania-
~when the collateral was moved to this county. DEBTO~ SIGNATURE(S)
~when the Debtor's residence or place of business was moved to
this county. Debtor Signature(~
d. already subject to a security interest in another jurisdiction-
~when the collateral was moved to Pennsylvania. 1
~when the Debtor's location was moved to Pennsylvania.
e. ~ which is proceeds of the collateral described in block 9, in which a la .
security interest was previously perfected (also describe proceeds in 11
block 9, if purchased with cash proceeds and not adequately
described on the original financing statement)' ;EIPT TO: ~
Secured Party Signature(s) ~C.~ ~/ ~ ~ ~ ~)~
,required only "box(es) is checked ab°ye): /~?¢G '--' / ~~~' / ~ " ~ '
REORDER FROM
Registr6,
514
~ ~o~ ucc-~ ~-~) 0m ~.o.
' ANOVA, MN. 55303
,-, A~r°ved bY Secretary of Commonwealth of Pennsylvania N E Do not send this page to the Department of State.
' (612) 422-1713
(~ ~1~i~ O~l~ ACKNO~ED~EMENT - ~UN~ ONLY