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HomeMy WebLinkAbout01-2299 PARTIES Debtorname(lastnamelirstifiodividu~l)and mailingaddress: JOHNSON, JEAN P. 10084 RED MAPLE LANE SHIPPENSBURG, PA 17257 Debtor name (last name first if individual) and mailing addreas: Debtor name (last name first if individual) and mailing address: Secured Par~(les) name(s) (lasl name firsl if individual) and address forsecurilyintereslin~rmalion: MeLLon Bank, M.A. Business Banking Loan Center TWO MeLLon Bank Center, Rm. 152~0350 Pittsburgh, PA 15259-0001 Assignee(s) of Secured Party name(s) (last name first if individual) Special 'l~pes of Parties (check if applicable): [] The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor," respectively. [] The tetras "Debtor" and "Secured Party" mean "Consignee" and "Consignor," respectively, [] Debtor is a Transmitting Utility. 3 SECURED PARTY SIGNATURE(S) This statement is filed with only the Secured Party's signature [o perfect a security interest in collateral (check applicable box(es)) -- a. [] acquired after a change of name, identity or corporate strt;clure of the Debtor. b. I--I as to which the filing has lapsed. c already subject to a security interest ill another cotmly ill Pennsylvania - [] when the collateral was moved to this county. [] when the Debtor's residence or place of business was moved lo this counly. d. already subject to a security interest in another jurisdiction -- [] when the collateral was moved to Penusylvania. [] when tbe Debtor's location was moved to Pennsylvania. e. [] which is proceeds of the collateral described in block 9, in wbich a security interest was previously perfected (also describe proceeds m block 9, if purchased with casb proceeds and not adequately described on the original financing statentent). / Secured Party Signature(s) f / (requireO. only if box(cs) is checked above): WENDY S. ~/P~CRER, RJELATIONSNIP MANAGER q ANDARD FORM - FORM PA UCC-1 {Re~. 3D3L FINANCING STATEMENT Uniform Commercial Code Form UCC-1 IMPORTANT -- Please read instructions carefully before completing FHing No. (stamped by filing officer): Date, Time, Pilin~4~fllee.~tampol~ by filing of Ecer): This'"Flfinnclng S~tement is pre~ented for filing pursu~it to the lJ~|form ,COmmercial Code, and is to be filed with the (check applicable box); . [] Secretary of the Commonwealth. ~ · [] Prothonotary of CUMBERLAND [] real estate records of Number of Additional Sheels (if any): Optional Special Identification (Max. 10 characters): COLLATERAL Identify collateral by item and/or type: ALL DEBTORtS RIGHT, TITLE AND INTEREST IN AND TO ACCOIJNT #101712~5BN7 MAINTAINED WITH MELLON BANK, N.A. AND TITLED IN THE NAME OF JEAN P. JOHNSON REVOCABLE TRUST DTD 12/16/82 INCLUDING, WITHOUT LIMITATION, ALL INSTRUMENTS, FUNDS, DEPOSITS, CASH, UNITED STATES ZERO C04JPON TREASURY BONDS AND OTHER SECURITIES (WHETHER OR NOT CERTIFICATED), AND OTHER PROPERTY NO~ OR HEREAFTER HELD IN SAID ACCOUNT~ TOGETHER WITH ALL CASH~ STOCK, INTERESTo DIVIDENDS AND DISTRIBUTIONS OF ANY TYPE t4HATSOEVER PAID UPON OR MADE IN RESPECT THEREOF, ALL SUBSCRIPTION RIGHTS, PRIVILEGES~ CLAIMS AND OTHER RIGHTS INCIDENT THERETO, AND ALL REPLACEMENTS AND SUBSTITUTIONS THEREFOR, AS WELL AS ALL CASH AND NON-CASH PROCEEDS OF THE FOREGOING. [] (check only if desired) Products of the collateral are also covered. 9 Identify related real eslate, if applicable: The collateral is, or includes (check appropriate box(es)) - a, [] crops growing or to be grown on ~- b, [] goods which are or are lo become f'~:tures on -- c. F-I minerals or the like (including oil and gas) as extracted on -- d. [] accounts resulting from the sale of minerals or the like (including oil and gas) at the wellhead or minehead on Um following real eslate: Street Address: Described al: Book of (cbeck one) [] Deeds [] Mortgages, al Page(s) for Coumy. Uniform Parcel identifier [] Described on Additional Sheet. Name of record owner (required only if no Debtor has an interest of record): County. County. 6 7 8 DEBTOR SIGNATURE(S) DebtorSignature(s): )EI~P. JOHNSON I / - ~ / / 10 lb RETURN RECEIPT TO: MeLton Bank, N.A. Business Banking Loan Center P.O. Box 3080 Pittsburgh, PA 15230-3080 Attn: Collateral Unit 12