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Home My WebLink About01-2596COMMONWEALTH OF PENNSYLVANIA - UCC1 PARTIES Debtor name (last name first [f iodividaa;) and mall[ng address: d/b/a 0.L. gtev[ck Clothiers 167401475 4401 D Carlisle Pike Camp Hi[[, PA 17011 1 Debtor name (last name first if individual) and malting address: Stevick, Donald L .,.-.,- .... 4305 Crestview Road Harrisburg, PA 17112 la Debtor name (la~ name first~indMdaal) and mailing address: Stevick, Janet A .,.~..- .... 4305 Crestview Road Harrisburg, PA 17112 lb Secured Party(ies) name(s)(lastname fimtJfindividual)and eddreastorsecud~intemstinformation: Community Banks, N.A. 2795 Old Post Road Narrisburg, PA 17110 Assignee(a) of Secured Party name(a) (last name first if individual) and address for security interest information: FINANCING STATEMENT Uniform Commercial Code Form UCC*I IMPORTANT-PIea~;r~ad b3str ~u,c,~tiona on reverse side, of ' Filing No. {stamped by ~in~fficer~.'7- Date, Time? FII'I~ ~J~(stamped by filing office ?Eh NSYLVANA This Financing Statement is prasented for filing pursuant to the Uniform Commercial Code, and is to be filed with the (check applicabte box): [] Secretary of the Oommonwealth. ~ Prothonotary of ~1,~01. Oounty. ~ real estate records of County. 6 Number of Additional Sheets (if any): 1 7 Optional Special Identification (Max. 10 characters): COLLATERAl. Identify collateral by item and/or type: SEE ATTACHMENT A 2a Special Types of Parties (check if applicable): [~ The terms "Debtor" and "Secured Party~ mean "Lessee" and "Lessor, "respectively. [] The terms "Debtor" and "Secured Party" mean "Consignec~ and "Consignee, respectively. [] Debtor is a Transmitting Utility. 3 SECURED PARTY SiGNATURE(S) This statement is flied with only the Secured ParYs signature to perfect a security interest in collateral (check applicable box(es)) - a, ~ acquired after a change of name, identity or corporate structure of the Debtor. b. ~ as to which the filing has lapsed c. already subject to a security interest in another county in Pennsylvania - ~when the cellarers/ was moved to this county. ~when the Debtor's residence or place of business was moved to this county. d. already subject to a security interest in another iudsdict/on - ]when the collateral was moved to Pennsylvania. ]when the Debtors/ocation was moved to Pennsylvania. e. [] which is proceeds of the collateral described in block 9, iR which a security interest was previously pedected (also describe proceeds in block 9, if purchased with cash proceeds and not adequately described on the original financing statement). Secured Party Signature(a) (required only if box(es) is checked above): ;TANDARD FORM - FORM UCC-I (7-89) tpprOved by SeCretaQ/of Commonwealth of Pennsylvania 4 [~ (check only if desired) Products of the collateral are also covered. 9 Identify related real estate, if applicable: The collateral is, or includes (check appropriate box(es)) - c. ~ mineraJs 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 the following real estata: Street Address: Described at: Book of (check one) [~ Deeds ~] Mortgages. at Page(s) _ for County. Uniform Parcel Identifier ~ Described on Additional Sheet. Name of record owner (required only if no Debtor has an interest of record): 10 DEBTOR SIGNATURE(S) Debto~ Signature(s): RETURI~RECEIPT TO: Corl~unit¥ Banks, N.A. ~796 Old Post Road Narrisburg, PA 17110 NOTE - This page will not be returned by the Department of State 12 INSTRUCTIONS 1. PLEASETYPE OR PRINT all information in black. 2. FOR FILINGS WITH THE DEPARTMENTOF 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 additionai sheets (if any) in block 7. If the security agreement itself is flied as the financing statement, it must be flied 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. Foflow 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 $12.00with the filing fee. There is no extra charge for additional sheets flied 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. Pleasecheck 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 wiil be mailed to the name and address listed in block 12. Community Banks, N.A. 2796 Old Post Road Harrisburg, PA 17110 (717) 909-3400 "LENDER" Debtor's Name and Mailing Address: UCC-1 ATTACHMENT A Stevick, Donald L Stevick, Janet A d/b/a D.L. Stevick Clothiers 4401 D Carlisle Pike Camp Hill, PA 17011 A~I of Oebtor's rights, ti~e and interest in the following desedbeq property whether now or hereafter existing or now owned or hereafter acquired by Debtor and wherever located shall constitute the "Co~lateral": ~ Ail accounts and contract rights including, but not limited to, any accounts and contract rights described on Schedute A on the reverse side hereof and incorporated herein by this reference; All chattel paper including, but not limited to, any chattel paper described on Schedule A on the reverse side hereof and incorporated herein by this reference; Ail 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 ~imiteb to, any equipment described on Schedule A on the reverse side hereof and incorporated herein by this reference; All tixturas including, but not limited to, any fixtures described on Schedule A and located or to be Iocateq 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 gerteral 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 leoated on or related to the real property desctibed on ScheduJe 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 sa~e leoated on the real property described on Schedule on the reverse side hereof and incorporated herein by this reference; Other: Ali monies or instruments pertaining to the Collateral described above; A~[ accessions, acceesodes, additions, amendments, attachments, modifications, replacements and substitutions to any of the above; A~I proceeds and products of any of the above; All palicies of insurance pertainiog to any of the above as well as any proceeds and unearned premiums pertaining to such policies; and All books aed records pertaining to any of the above. UCC1A ® John H. Harfand Co. (01/25/99) (800) 937-3799