HomeMy WebLinkAbout01-3658 PARTIES FINANCING STATEMENT
Unifon'n Commercial Code Form UCC-1
abtor name (last name first if mdiwdual} and ma~ling address IMPORTANT - Please read instructions on
agagna, Shawn reverse side of page 4 before completing
29 Birch Lane
arlisle, PA 17013 F,I,ngNo (stampedbyfdingoff~cer) Date. T~me. FdirtgOff~.' ~lenl~l~.b~fi)lngofficer)
' 01
SN 384-58-2686 - · ~ '
eblor name (last name first ~f mdlwdual) and mailing address 'i
Z9 Birch Lane ~ .. · ..o...~u~ 5
arlisle, PA 17013 ....
])(Prothonota~of Cuff, berla~d CQunty Prothonotary County.
6
,r secur:ty ]nteresl informat~n: COLLATERAL
iviera Finance of Texas, Inc. dba
All presently existing or hereafter arising, now owned
6.~ Quakerbridge Road, Ste 4
[ercerville, NJ 08619
~dressforsecur,ty,nterestinformat,on. general intangibles, and all books records pertaining
property.
SECURED PARTY SIGNATURE(S)
: when the DebtoFs residence or place of bus,ness was move(3 t~ DEBTOR SIGNATURE(S)
RETURN RECEIPT TO'
Secured Pa~)' S~lna~ure(s)
(required only ,f ~ox(es) rs c~ecke~ atx)ve). Heartland Business Imelligcnc¢
821 Marquette Ave ~404
........................ Minneapolis, MN 55402
Attn: Sue Kolar
[ANDA"D ~O"M ' FO"M UCCI' 'Tm'') FLUNG OFFICE ORIGINAL
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