Laserfiche WebLink
OR <br />OR <br />OR <br />FINANCING STATEMENT AMENDMENT <br />V INSTRUCTIONS <br />E & PHONE OF CONTACT AT FILER (optional) <br />'a Stoddard 402.786.2555 <br />ML CONTACT AT FILER (optional) <br />■ddard@horizonbankne.com <br />D ACKNOWLEDGMENT TO: (Name and Address) <br />[orizon Bank <br />ATTN: Janet Latimer <br />10841 N 142nd Street <br />PO Box 447 <br />Waverly, NE 68462 <br />la. INITIAL FINANCING STATEMENT FILE NUMBER 1b This FINAN N Gh S ATE TAM AMENDMENT is to be filed [for record] <br />201005321 Filer. atjacia Amendment Addendum (Form UCC3Ad )gpgprovideDebtors name in item 13 <br />2. ❑ TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to the security interest(s) of Secured Party authorizing this Termination <br />Statement <br />3. ❑ ASSIGNMENT (full or partial): Provide name of Assignee in item 7a or 7b, And address of Assignee in item 7c gad name of Assignor in item 9 <br />For partial assignment, complete items 7 and 9 magl also indicate affected collateral in item 8 <br />4. m CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of Secured Party authorizing this Continuation Statement is <br />continued for the additional period provided by applicable law <br />5. El PARTY INFORMATION CHANGE: <br />Check gag of these two boxes: AND Check gae of these three boxes to: <br />CHANGE name and /or address: Complete ADD name: Complete item DELETE name: Give record name <br />This Change affects Debtor gt ❑ Secured Party of record D item 6a or 6b; find item 7a or 7b and item 7c 7a or 7b, gag item 7c to be deleted in item 6a or 6b <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only one name (6a or 6b) <br />6a. ORGANIZATIONS NAME <br />Westridge Crown, LLC <br />6b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />7. CHANGED OR ADDED INFORMATION: Complete for Assignment or Party Information Change - provide only one name (7a or 7b) (use e <br />7a. ORGANIZATIONS NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />7c. MAILING ADDRESS <br />8. m COLLATERAL CHANGE: AIi4 check gne of these four boxes: <br />Indicate collateral: <br />See attached Legal Description. <br />10. OPTIONAL FILER REFERENCE DATA: <br />CITY <br />If this is an Amendment authorized by a DEBTOR, check here I I and provide name of authorizing Debtor <br />r _ <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />SUFFIX <br />ct, fut name, do not omit, modify, or abbreviate any part of the Debtor's name) <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />ADD collateral DELETE collateral RESTATE covered collateral ASSIGN collateral <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT: Provide only one name (9a or 9b) (name of Assignor, if this is an Assignment) <br />9a. ORGANIZATIONS NAME <br />Horizon Bank <br />9b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S) /INITIAL(S) <br />SUFFIX <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY — UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />cD <br />u <br />c <br />N <br />a) <br />CO <br />m <br />---1 <br />m <br />2J <br />m <br />C3 <br />C/3 <br />—1 <br />m <br />9 <br />