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Home My WebLink About01-2202 ' COMMONWEALTH OF PENNSYLVANIA- UCC1 PARTIES FINANCING STATEMENT Debtor name (last name first if individual) and mailing address: Uniform Commercial Code Form UCC-1 IMPORTANT-Please read instructions.on .. - ,-.- - d/b/a t/ALTERS EMBROIDERY 251616521 reverse side of page 4 before, completing.... ' ~ ' ' . -- . . 4 SHERWOOD DR ZVE No. (stamped by filing officer)' Date, Time, Filing O---ffiCe (stampe~l '-''~: ''-'~'~ v' ___ ENOLA, PA 17025 Dy tilihg officer): I ' ..,' Debtor name (last name first if individual) and mailing address: I ' .~ '-.' ,' · ,,_. ,' . ,.-".\ 5 la Financing Statement is presented for filing pursuant to the Uniform Commercial Code, and is to be filed with the (check applicable box): Debtor name (last name first if individual) and mailing address: ~ Secretary of the Commonwealth. ~ Prothonotary of C_~UMBERLAND County. ~ real estate records of County. 6 lb Number of Additional Sheets (if any): 1 7 Secured Pariy(ies) name(s) (last name first if individual) and Optional Special Identification (Max. 10 characters): 8 address for security interest information: COLLATERAL Community Banks, M.A. Identify collateral by item and/or type: 390 East Penn Drive Eno[a, PA 17'025 SEE ATTACHMENT A 2 · Assignee(s) of Secured Party name(s) (last name first if individual) and address for security interest information: 2o Special Types of Parties (check if applicable): ~ (check only if desired) Products of the collateral are also covered. [~ The terms "Debtor" and "Secured Party" mean "Lessee" 9 " related real estate, if applicable: Th--~lateral is, or include~riate and"Lessor, respectively, box(es))- ~ The terms "Debtor" and "Secured Party" mean "Consignee" and "Consignor", respectively, a. [~ crops growing or to be grown on - ~ Debtor is a Transmitting Utility. b. [~ goods which are or are to become fixtures on - ------ 3 c. [~ minerals or the like (including oil and gas) as extracted on - SECURED PARTY SIGNATURE(S) d. [~ accounts resulting from the sale of minerals or the like (including oil and gas) at the wellhead or This statement is filed with only the Secured Party's signature to perfect minehead on - a security interest in collateral (check applicable box(es)) - the following real estate: a. ~ acquired after a change of name, identity or corporate structure Street Address: of the Debtor. Described at: Book _of (check one) ~ Deeds ~ Mortgages, at Page(s) for b. ~_~ as to which the filing has lapsed. Parcel Identifier County. Uniform c. already subject to a security interest in another county in Pennsylvania- ~ Described 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 10 moved to this county. DEBTOR SIGNATURE(S) d. already subject to a security interest in another jurisdiction - Debtor Signature(s): ~ when the collateral was moved to Pennsylvania. ~ when the Debtor's location was moved to Pennsylvania. e. [~ which is proceeds of the collateral described in block 9, in which a security interest was previously perfected (also describe proceeds in block 9, if purchased with cash proceeds and not ~~'~--~"~ ~ , 11 adequately described on the original financing statement). RET : Secured Party Signature(s) (required only if box(es) is checked above): Communi ty Banks, M.A. P.O.BOX HAL ! FAX, P.A. 1703;) STANDARr - FORM UC, 4 ~ ' '~ ' 12 Approved by Secretary of Commonwealth ~-i pag te t~-_~ / NOTE - Th INSTRUCTIONS 1. PLEASETYPE OR PRINT all information in black. 2. FOR FILINGS WITH THE DEPARTMENT OF STATE YOU MUST USE THIS FORM or a standard form approved by the Secretary of the Commonwealth. If additional sheets are needed due to limited space on this form, use additional 8 1/2 x 11 inch sheets. Be sure to indicate the number of additional sheets (if any) in block 7. If the security agreement itself is filed as the financing statement, it must be filed with this form properly completed and with conformed signatures (such as "/s/(name of signer)"). THIS FORM MAY NOT BE ACCEPTABLE FOR FILING IN ALL COUNTIES. PLEASE CHECK WITH THE PROTHONOTARY OF THE COUNTY WITH REGARD TO ITS ACCEPTABILITY AND USE. 3. COMPLETE THE FORM CAREFULLY Follow any instructions provided, and only check boxes that apply to the transaction or this filing. Be sure to leave block 5 blank, for completion by the filing officer. To help you identify this filing, a special identification number or letter code of up to 10 characters may be entered in block 8. Any such identification number or letter code is entirely optional, and is only for the convenience of the filer. This number or letter code will appear on the receipt for this form that you will receive from the filing office of the Department of State. 4. FILING FEES must be paid at the time of filing. The fee for filing this form with one (1) debtor name with the Department of State is $12.00. For each additional name listed on the UCC-1 form include an additional $12.00 with the filing fee. There is no extra charge for additional sheets filed with this form. For filings with the Department of State, make your check payable to "PA Department of State". Local filings are to be made with the appropriate county office. Please check with the Prothonotary of each county with regard to local filing instructions and fees. 5. MAIL OR DELIVER this form to the appropriate State and/or county office(s) for filing. Be sure to indicate the filing office in block 6, and remember to include your check to cover required filing fees. Filings with the Department of State are to be addressed to ,,UniformCommercial Code, Department of State, Harrisburg,PA 17120". You are advised to keep a copy of this Form UCC-1 for your own records. 6. A RECEIPT for this form, bearing the date, time, filing number, and any special identification number or letter code entered in block 8, will be returned to you by the Department of State. The receipt for this form will be mailed to the name and address listed in block 12. - U C C- 1 390 ~:ast Penn Drive Enola, Pa 17025 ATTACHMENT A (800) 331-8362 "LENDER" Debtor's Name and Mailing Address. WALTERS, SR, GARY S WALTERS, SUSAN W d/b/a WALTERS EMBROIDERY 4 SHERWOOD DRIVE ENOLA, PA 17025 All of Debtor's rights, title and interest in the following described property whether now or hereafter existing or now owned or hereafter acquired by Debtor and wherever located shall constitute the "Collateral": .. ' ~ All accounts and contract rights including, but not limited to, any accounts and contract rights described on Schedule ^ on the reverse side hereof and incorporated herein by this reference; · ~ All chattel paper including, but not limited t~, any chattel paper described on Schedule A on the reverse side hereof and incorporated herein by this reference; ~ All documents including, but not limited to, any documents described on Schedule A on the reverse side hereof and incorporated herein by this reference; ~ All equipment including, but not limited to, 'any equipment described on Schedule A on the reverse side hereof and incorporated herein by this reference; [~ All fixtures including, but not limited to, any fixtures described on Schedule A and located or to be located on the real property described on Schedule B on the reverse side hereof and incorporated herein by this reference; ~] All general intangibles including, but not limited to, any general intangibles described on Schedule A on the reverse side hereof and incorporated herein by this reference; ~ All inventory including, but not limited to, any inventory described on Schedule A on the reverse side hereof and incorporated herein by this reference; [~] All minerals or the like and accounts resulting from sales at the wellhead or minehead located on or related to the real property described on Schedule B on the reverse side hereof and incorporated herein by this reference; [~ All standing timber which is to be cut and removed under a conveyance or contract for sale located on the real property described on Schedule B on the reverse side hereof and incorporated herein by this reference; Other: All monies or instruments pertaining to the Collateral described above; All accessions, accessories, additions, amendments, attachments, modifications, replacements and substitutions to any of the above; All proceeds and products of any of the above; All policies of insurance pertaining to any of the above as well as any proceeds and unearned premiums pertaining to such policies; and All books and records pertaining to any of the above. .. ,,. .. UCCIA (D John H. Hartand Co. (01/25/99) (800) 937-3799 4 .g~::gla,.WOO:D D:R'rtZ'B, :E~OT.d~, :P~ · 1'7 0 2 5 · · The name of the record owner is: UCC2A ~) John H. Harland Co...(..01/25/99) (800) 937-3799