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HomeMy WebLinkAbout01-2111 PARTIES DEBTOR name (Last name first if Individual)and mailing address: FINANCING STATEMENT Nester & Mathias Dental Associates, P.C. UNIFORM COMMERCIAL CODE FORM UCC-1 1851 Center Street Camp Hill, PA 17011 FILING NO. (stamped by filing officer): .'.. · · : , ,-.::~.. "' . " -DA~E,i.'TIME, FILING OFFICE , ~:...,,~; ) DEBTOR name (Last name first if Individual)and mailing address: ~(" ~'":~ DEBTOR name (Last first l, Individual)and mailing address: This FINANCING STATEMENT is presented for ,,,,ng pursu~'~H~,;(l~.~& ,f~/~~mercia, Code, and name to be filed with the (check applicable box): [~ Secretary of the Commonwealth. /~ 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. PENNSYLVANIA STATE BANK OF 2148 Market Street, P.O. Box 487 Camp Hill, PA 17001--0487 ers): Identify collateral by item and/or type: C_~LATERAL All Equipment; whether any of the foregoing is owned now or acquired later; all ASSIGNEE(S) OF SECURED PARTY name(s)(last name first if individual)and accessions, additions, replacements, and substitutions relating to any of the foregoing; address for security interest information: all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles and accounts Proceeds). SPECIAL TYPES OF PARTIES (Check if applicable): Iq The terms 'Debtor- and 'Secured ~ (check only if desired) Products of the Collateral are also covered. L._.J respectively. Party' mean'Lessee, and.Lessor., The terms 'Debtor' and 'Secured Party' mean 'Consignee-and FY RELATED REAL ESTATE, if applicable. The collateral is, or includes (check apPropriate 'Consignor., respectively. / CROPS growing or to be grown on -- __ Debtor is a Transmitting Utility b. ~ goods which are to become FIXTURE on -- SECURED PARTY SIGNATURE(~) 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 reai estate: a. /~ ACQUIRED AFTER A CHANGE O STREETADDRESS: b. ~ DESCRIBE AT: Book as to which the filing has lapsed, for ----____ of (check one) ~ Deeds ~ Mortgages, at Page(s) County. Uniform Parcel Identifier c. abdy 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 RESlDEN OR PLACE OF BUSINESS WAS MOVE[.) to this county. CE d. abdy subject to a security interest in ANOTHER JURISDICTION __ DEBTOR SIGNATURE when the COLLATERAL WAS MOVED to Pennsylvania. Debto ture(s ....... WAS MOVED to Pennsylvania. E e. /~ which is PROCEEDS of the colla ~ proceeds in h,~,~ .. ,. ~'~ w.aa previously net ......... ock .9. In .... "','.~,, ~, ~r purchased ~,i,h ~a~h ~,.~,u (.mso describe aoequa~el descr' ' · ."" . P oceeas and no YIbed on the original financing statement),t ......... -~uallgls, ,Jr. VJC~~ SECURE D PARTY SIC NATURE(S): (required only if box(es)is checked above): lb RETURN RECEIPT TO: 11 Pennsylvania Slate Bank .--. p& 2148 Market Street. p. O. Box 487 Camp Hill, PA 17001--04a7 C/~"f'*t [O [ ~ ~TANDARD FORM - FORM UCC-1 (7--89) ~ FILING OFFICE OR IGIN~~~~~~~1~ ~pproved by the Secretary of the Commonwealth of Pennsylvania NOTE - This page will not be returned by the Department of State.