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201500819
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Last modified
4/14/2015 11:53:32 AM
Creation date
2/9/2015 3:38:02 PM
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DEEDS
Inst Number
201500819
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OR <br />2b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />2c. <br />MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />OR <br />1 c. <br />1 <br />OR <br />3c. <br />16 <br />'INANCING STATEMENT <br />INSTRUCTIONS <br />& PHONE OF CONTACT AT FILER (optional) <br />L CONTACT AT FILER (optional) <br />ACKNOWLEDGMENT TO: (Name and Address) <br />I Cornerstone Bank <br />PO Box 69 <br />529 N Lincoln Ave <br />York, NE 68467 -0069 <br />1 2a: ORGANIZATIONS NAME <br />J <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04120/11) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only tine Debtor name Oa or 1b) (uae exact. full name; do not omit, modify, or abbreviate any part of the Debtor's name); it any part of the Individual Debtor's <br />name will not ft, In line 1 b, leave all of item 1 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1 Ad) <br />1a. ORGANIZATION'S NAME <br />117 . INDIVIDUAL'S SURNAME <br />Panowicz <br />MAILING ADDRESS <br />0288 W White Cloud Rd <br />FIRST PERSONAL NAME <br />Matthew <br />CITY <br />Cairo <br />ADDITIONAL NAME(S) /INITIAL(S) <br />M <br />STATE <br />NE <br />POSTAL CODE <br />688248760 <br />SUFFIX <br />COUNTRY <br />2, DEBTOR'S NAME: Provide only eon Debtor name (2a or 2b) (use exact, full name; do not omit, madly, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit in line 2b, leave all of Item 2 blank, check here ❑ and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />CORNERSTONE BANK <br />Se, INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />31 16th Street <br />FIRST PERSONAL NAME <br />CITY <br />Central City <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68826 -1816 <br />SUFFIX <br />COUNTRY <br />USA <br />4. COLLATERAL: This financing statement covers the following collateral. <br />Purchase Money Security Interest in a 2014 Seven Tower Zmrnatic Pivot (Serial Number: LD2022); whether any of the foregoing is owned now <br />or acquired later; all accessions, additions, replacements, and substitutions relating to any of the foregoing; all records of any kind relating <br />to any of the foregoing. <br />5„ cn •skt,n'i it applkable and check gay one box: Collateral is held in a Trust (sae UCC1Ad, hem 17 and Instructions) ❑ being administered by a Decedent's Personal Representative <br />Ba. Check only if applicable and check gffiy one bat,: Bb. Check only if applicable and check only one box: <br />❑ Public Finance Transaction • Manufactured -Home Transaction A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Eailee /Bailor ❑ Licensee/Licensor <br />B. OPTIONAL FILER REFERENCE DATA: <br />D+H <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />
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