201500821 - Laserfiche WebLink

Browse

OR L OR 0 ram 0 'INANCING STATEMENT AMENDMENT cs, N INSTRUCTIONS OR & PHONE OF CONTACT AT FILER (optional) e Schack L CONTACT AT FILER (optional) lck @cornerstoneconnect.com ,ACKNOWLEDGMENT TO: (Name and Address) Cornerstone Bank P. O. Box 69 529 Lincoln Ave. York, NE 68467 -0069 7a. ORGANIZATION'S NAME 7b. INDIVIDUAL'S SURNAME Panowicz INDIVIDUAL'S FIRST PERSONAL NAME Patti INDIVIDUAL'S ADDITIONAL NAME(S) / INITIAL(S) M 7c. MAILING ADDRESS CITY 10288 W White Cloud Raad Cairo 8. ❑ COLLATERAL CHANGE: glsg check oiaa of these four boxes: ❑ ADD collateral Indicate collateral: 10. OPTIONAL FILER REFERENCE DATA: m n z Q J STATE NE r T� C0 CD F—+ THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 1 a. INITIAL FINANCING STATEMENT FILE NUMBER 1b. FINANCING STATEMENT AMENDMENT is to be filed (for record( 0201107443 (Hall County) (or recorded) in the REAL ESTATE RECORDS Filer iamb Amendment Addendum (Farm UCC3Ad) gad .provide Debtor's name in item 13 — ^ 2. ❑ TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination Statement 3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, and address of Assignee in Item 7c aad name of Assignor in item 9 For partial assignment, complete items 7 and 9 0,no also indicate affected collateral in item 8 4. 0 CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(!) of Secured Party authorizing this Continuation Statement is continued for the additional period provided by applicable law 5. lili PARTY INFORMATION CHANGE: Check ma of these two b D, r es: M Check Me of these three boxes to'. CHANGE name and/or address: Complete ADD name: Complete item DELETE name Give record name This Change affects D ebtor or 0 Secured Party of record item 6a or 6b, HDd item 7a or 7b and item 7c ❑ 7a or 7b. and item 7c ❑ to be deleted in item 6a or 6b m 6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only we name 166 or 6b) 6a. ORGANIZATION'S NAME 6b. INDIVIDUAL'S SURNAME Panowicz FIRST PERSONAL NAME Patricia ADDITIONAL NAME(S) / INITIAL(S) 7 CHANGED OR ADDED'INF ORMATION: Complete for Assignment or Party Info lion Change • provide only gat name (7a 7b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) POSTAL CODE 68824 DELETE collateral ❑ RESTATE covered collateral 9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only gag name (9a or 9b) (name of Assignor, If this is an Assignment) It this is an Amendment authorized by a DEBTOR, check here 1 1 and provide name of authorizing Debtor 9a. ORGANIZATION'S NAME C'ornerstone'Bank SUFFIX SUFFIX COUNTRY USA ASSIGN collateral 9b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX International Association of Commercial Administrators (IACA) FILING OFFICE COPY— UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) m TT m Q)