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Home My WebLink About01-2109 DEBTOR name (Last name first if Individual)and mailing address: FINANCING STATEMENT DAVID L. ELLIS AGENCY, INC. UNIFORM COMMERCIAL CODE FORM UCC-1 3552 OLD GETTYSBURG ROAD, SUITE 203 CAMP HILL, PA 17011 FILING NO. (stamped by fillngofficer): ~1~ .... · ... DATE, TIME FILING OFFICE O I --- ~t~,~.--. [ .... '. · ·: (stampe~ by filing officer) DEBTOR name (Last name first if Individual)and mailing address: '.' ;. ., . ;"i ! ;" ;': "' , ,~ '., ,~ ,., This FINANCING STATEMENT is presented ~.t~j~" ' .... ~.~. :---~ .. 5 DEBTOR name (Last name first if Individual)and mailing address: ...... to be filed with the (check applicable box): L~[l[f_ol:~i l~0r~merclal Code, and is /~ Secretary of the Commonwealth. ' '-' 'J ;"'" ~' L.',','-.,:..~..'~ ~ Prothonotary of Cumberland County SECURED PARTY(les) name(s) (last name first if Individual) and address for ~ real estate Records of security interest information: County. PNC BANK, NATIONAL ASSOCIATION 4242 CARLISLE PIKE tny): 6 CAMP HILL, PA 17001-8874 7 COLLATERAL ~ Identify Collateral by item and/o;- type: ~ All Inventory, Chaltel Paper, Accounts, Equipment and General Iht ASSIGNEE(S) OF SECURED PARTY name(s) (last name first if Individual) and with the following nbedproperty:INSTRUME address for security interest information: specifically desc' - angibles; t ether DOCUMENTS; whether any of the NT~°gAND foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and other accounts proceeds).. TYPES OF PARTIES (Check if applicable): 2..~a ~ ~ The terms 'Debtor- and 'Secured Party' mean 'Lessee- and 'Lessor-, L...J respectively. ~ (check only if desired) Products of the collateral are also covered. ~ __ 9 The terms 'Debtor' and 'Secured Party' mean 'Consignee. and REAL ESTATE, if applicable. The collateral is, 'Consignor-, respectively, or includes (check apPropriate CROPS growing or to be grown on -- Debtor is a Transmitting Utility b. /~ goods which are to become FIXTURE on -- --------- SECURED PARTY SIGNATURE(S) c. ~ MINERALS or the like (Including oil and gas)as extracted on -- THIS STATEMENT IS FILED WITH ONLY THE SECURED PARTY'S d. [~ ACCOUNTS RESULTING FROM THE SALE OF MINERALS or the like (including oil and gas) SIGNATURE to perfect a security interest in collateral (check applicable at the wellhead or minehead on -- box(es)) __ the following real estate: a. ~] ACQUIRED AFTER A CHANGE OF NAME IDENTITY OR STREETADDRESS: CORPORATE STRUCTURE of the Debtor: as to which the filing has lapsed, for --'-'"--'--- Deeds Mortgages, at Page(s) c. a Y subject to a security Interest in ANOTHER COUNTY In Pennsylvania Describe on Additional Sheet when the COLLATERAL WAS MOVED to this county. / NAME OF RECORD OWNER (required only if no Debtor has an Interest of record): when the DEBTOR'S RESIDENCE OR PLACE OF BUSINESS WAS MOVED to this county. I. a~dy subject to a security interest in ANOTHER JURISDICTION __ '-'----------------- D when the COLLATERAL WAS MOVED to Pennsylvania. ~ DEBTOR S~'~'NATURE(S) /~ when the DEBTOR'S RESIDENCE OR PLACE OF BUSINESS WAS MOVE D to Pennsylvania. /~ which is PROCEEDS of the collateral described in block 9 in which a security Interest was revi _Pr~oceed. s.in block 9. If ~) P OUsly p.erfected also d ' · ' aoequa;ely describ~d ,-urchased with_casn proc. eels andescr~be on the original financing statement), not SECURED PARTY SIGNATURE(S): 0'equlred only if box(es) is checked above): 1 b RETURN RECEIPT TO: 11 ~N0(C) BANK, NATIONAL ASSOCiATiON .,. ~'~ TINICUM BOULEVARD PHILADELPHIA, PA 19153 ~ 3 / [ (,, ~(,= ,NDARD FORM - FORM UCC-1 (7-89) ~ //./ C3c) ~o ~ 12 SECURED PARTY COPY roved by the Secretary of the Commonwealth of Pennsylvania NOTE - This page will not be returned by the Department of State.