HomeMy WebLinkAbout01-2177 FINANCING STATEMENT
· PARTIES Uniform I::o;T, mercial Code Form UCC-1
DeMor name (last name first if individual) and mailing address: iMPORTAN'r.~lease read instructions on
-- reverse si¢te (~f page 4 before completing
SHAFFER, CAROLYN W. , M. D. No. (stamped by filing officer): Date, Time, Filing Office (stamped by filing officer):
55 sou . ...... ':'
WORMLEYSBURG, PA 17043 1
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Debtor name (last name first if individual) and mailing address: ! !..~ ... .
SHAFFER, LAWRENCE --?'' /P~"~ ' ~ , ~ ' ~??i"~:
55 SOUTH TERRANCE ' {,_',L~i'-,'~, '..-.' ..... " ~ .....
WORMLEYSBURG, PA 17943 la This Financing Statement is presented for filing pursuant to ~iqm~r~_.~"~'~cial Code,
Debtor name (last name first if individual) and mailing address: and is to be filed with the (check applicabl(, box):
I-! Secretary of the Commonwealth.
E~Prothonotary of _CUMB ERL AN~D_ County.
I-1 real estate records of County.
lb lumber of Additional Sheets (if any):
Secured Party(les) names(s) {last name first if individual) and address Special Identification (Max. 1u characters): 309 ! 3 ~ ! z!_ ,-~'~'~-:'~ ~'/~
for security interest information: PNC BANK, NATIONAL COLLATERAL
ASSOCIATION SUCCESSOR BY MERGER Identify collateral by item and/or type: ALL BUILDING MATERIALS,
CCNB BANK, N. A MACHINERY, EQUIPMENT, FURNITURE, FURNISHINGS, FIX-
331 BRIDGE S~REET/P.O- BOX 160 2 TURES AND OTHER TANGIBLE PERSONAL PROPERTY IN
N~ame first if i,dividual) and WHICH DEBTOR NOW HAS OR MAY HEREAFTER ACQUIRE
address for security interest information: INTEREST, AS OWNER OR OTHERWISE,AND NOW OR
HEREAFTER ATTACHED TO THE LAND DESCRIBED BELOW
OR INSTALLED,PLACED OR SITUATE INTHE BUILDING
AND IMPROVEMENTS ERECTED THEREON, OR USED OR
2a INTENDED TO BE USED IN CONNECTION THEREWITH,
Special Types of Parties (check if applicable): INCLUDING ADDITIONS, REPLACEMENTS AND
Tq'T1mIO'NS '£HE'RE:'£O Ai>]D 'I~I4ERE.FOR' .
I-! The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor," Sl~c~ec~'~a~f-de~iTe-d~-Products o{-tS-e collateral are also covered.
respectively.
E! 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. I-1 crops growing or to be grown on -
"Consignor," respectively.
b. I--1 goods which are or are to become fixtures on -
E! Debtor is a Transmitting Utility. c. F-I minerals or the like (including oil and gas) as extracted on -
3 d. El accounts resulting from the sale of minerals or the like (including oil and gas) at the wellhead
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. F'I acquired after a change of name, identity or corporate structure of Described at: Book of {check one) I'-1 Deeds r-] Mortgages, at Page(s)
the Debtor. for County. Uniform Parcel Identifier
b. K~as to which the filing has lapsed. ['1 Described on Additional Sheet.
c. already subject to a security interest in another county in Pennsylvania- Name of record owner (required only if no Debtor has an interest of record)' 1
[-]when the collateral was moved to this county. DEBTOR SIGNATURE(S)
[-1when the Debtor's residence or place of business was moved to
this county. Debtor Signature(s):
d. already subject to a security interest in another jurisdiction-
r-lwhen the collateral was moved to Pennsylvania. 1
I-]when the Debtor's location was moved to Pennsylvania.
e. E] which is proceeds of the collateral described in block 9, in which a la
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). 113
RETURN RECEIPT TO:
Secured Party Signature(s) PNC BANK,NATIoNAL ASSOCIATION
(required only if box(es)is checked above):
PNC BANK,NATIONi'~L ASSOCIATION 249 FIFTH AVE
j BIGLER,ASSIsTANT VICE PRESIDENT DOCUMENT SERVICES
- - PGH, PA 15222
R~ 4 ~-' .~o.o~. ~.o,~
n~of RegistrY,
STANDARD FO 5z4 mE:RCE: sr.
Approved by Secre~ry of Comm~ealth of Pennsylvania NOTE - This page will not be by the Departme State. ,.o..ox
(612) 42[-[713
(1) FILING OFFICE ORIGINAL