HomeMy WebLinkAbout01-2531 PARTIES
Debtor name (last name first if individual) and mailing address:
Walters Larry J.
132 Quarry Rill Road
Shippensburgn Pa 17257
Oebtorname([a~namefirstifindividual) andmailingaddress:
Walters Diane L.
132 Quarry H~ll Road
Shippensburg Pa 17257
Debtor name {lest name first if iododduag and mailing address:
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Secured party(ies) name(s) (last name first if individual( and address for
security interest information:
Northwest Consumer Discount Company
223 Penrose Place
Carlisle, Pa 17013 2
Assignee(s) of Secured Party name(s) (last name first if individual) and address
for security interest information:
FINANCING STATEMENT
Uniform Commercial Code Form UCC-1
IMPORTANT -- Please read instructions on
reverse aide of page 4 before completing
Filing No. (stamped by filing officer): DAte, Time .Ek~g~0~ffice {stamped by Ming officer:
0 1 -- ,~531 cx...c_c- C_,. i ': '' .
O} 30 ?fl 2:52
Th~s Fmancmg S~tement is presen ed or ,mc pursu~ ~erc~al Code, and ~s to be b ed
with the (check applicable box):
~ S~retary of the Commonwealth
~ Protho~tary of C*~herland
~ real estate records of
Number of Additional Sheets (if any):
Optional Special Identification (Max. 10 characters):
COLLATERAL
Identify collateral by item and/or type:
County.
County.
6
7
335003 g
2000 Polaris Trail Blazer 4-Wheeler
Ariens Rider Mower w/40" Deck Model No. - 936022
28
Special Types of Parties (check if applicable):
[] The terms "Debtor" ned "Secured Party" mean "Lessee" add "bessor,'
respectively
[~] The terms "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 to perfect a
security interest in collateral (check applicable box(es)l-
a. [] acquired a~ter a change of name, identity or corporate structure otthe
Debtor.
b [] as to which the filing has lapsed.
c already subject to a security interest in another county in Pennsylvania--
~ when the Collateral 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 jurisdiction- [] when the collateral was moved to Pennsylvania.
[] when the Debtor's ideation was moved to Pennsylvania.
e. [] which is proceeds of the collateral described in block §, in which a
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)
Secured Party Signature(s)
(required only if box(es) is checked above):
[] (check only if desired) Products si the collateral are also covered 9
Identify related real estate, ii applicable: The collateral is, or includes (check appropriate box(es)) --
a, [~] cropa growing or to be grown on --
b, [] goods which are or are to become fixtures oil --
c. [] minerals or the like (including sit and gas) as extracted on --
d ~ acc~untsresu~tingfr~mthe~a~e~fminera~s~rthe~ike(inc~uding~iiandgas~atthewe~~head~r
minehead on --
the lollowing real estate:
Street Address:
Described at: Book of (check one) ~ Deeds [] Mortgages. at Page(s) __
for __ County. Uniform Parcel Idenbfier
[] Described on Additional Sheet
Name of record owner (required only if no Debtor has an mterest of record):
DEBTOR SIGNATURE(S)
Debtor Signature(s);
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RETURN RECEIPT TO:
lB
NORTHWEST C?~!S. DISC. C0,
223 Ponr~s~ Place
Carlisle, PA 17018
11
4
FILING OFFICE ORIGINAL
NOTE-THIS PAGE WILL NOT RE RETURNED BY THE DEPARTMENT OF STATE.
IF THE FILING IS W~TH THE DEPARTMENT r*~F STATE