HomeMy WebLinkAbout01-28332894451-41-2 PARTIES 90730 SNAP.EVEN
Debtor name (last name first if individual) and mailing address:
JACKSON, ROBERT
1112 SLATE HiLL RD
QAMP HILL PA 17011
t 7~95~4496
Debtor Name (last name first if individual) and mailing address:
JACKSON'S AUTOMOTIVE
1112 SLATE HILL RD
CAMP HILL, PA 17011
179504496
Debtor name (last name first if individual) and mailing address:
Secured Party(les) names(s) (last name first if individual) and
~,nr sec u rity~n t e~e~ t. J0 fl~rrnation:
Bank One Tower
111 Monument Circle, Suite 2700
Indianapolis, iN 46204
77-0298311
Assignee(s) of Secured Party name(s (last name first if
ifiifivldual) and address for security Interest Information:
FINANCING STATEMENT
-, Uniform Commercial Code Form UCC-I
IMPORTANT-Please read instructions on
reverse side of page 4 before completing
Filing NO. (stamped by filing officer):
County
County
This Financing Statement is presented Icc filing pursuant to the Unifoml Commercial Code.
and is to be filed with the (check a pp~ica ble b~x):
[] Secretary of the Corr~monwealth.
[] real estate records of
6
Number of Additional Sheets (if any): 7
Optional Special Identification (Max. 10 Characters): 2894451 ~
COLLATERAL
Identify collateral by item and/or type:
Purchase Money Security Interest in automotive tools and equipment
with or without the Snap-on or Sun Electric Trademarks, accessions,
additions, substitutions, replacements, and proceeds as detailed in Credit
Sales Contract or Equipment Lease No. Equipment/Lease No: 2055525
S~3ecial Types of Parties (check if applicable):
EquipmentJLease NO: 2055525
SECURED PARTY SIGNATURE(S)
Secured Party Signature(s)
(required only if box(es) is checked above):
AT]-ORN EY-IN-FACT
STANDARD FORM * FORM UCC-1 7-89
Approved by Secre a~/of Commonwea th of Pennsylvania
2a
[~] (Check only if desired) PreduCts of the collateral are also covered
the following real estate:
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):
DEBTOR SIGNATURE(S)
Debtor Signature(s):
JACKSON, ROBERT
SIGNING FOR ALL
RETUR..ECErPTTO: [[/
UCC Direct Services
P.O. Box 29071
Glendale
CA P~o.. (800) 331-3282
91209-9071 Fa~ (818) 662~4141