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ANCING STATEMENT <br />0� ITRUCTIONS <br />01 <br />® HONE OF CONTACT AT FILER (optional) <br />(800) 331 Fax: (818) 662 - 4141 <br />) NTACT AT FILER (optional) <br />1S_Glendale_Customer_Service@wolterskluwer.com <br />OR <br />lc. <br />1 <br />OR <br />2c. <br />(NOWLEDGMENT TO: (Name and Address) 25676 - US CREDIT INC <br />Ti Solutions <br />dox 29071 <br />Glendale, CA 91209 -9071 <br />J 48537226 — 1 <br />NENE <br />FIXTURE <br />m <br />-n <br />z <br />nn <br />= A <br />m to <br />n S <br />File with: Hall County Register of Deeds, NE THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only one Debtor name (1a or 1b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name); if any part of the Individual Debtor's <br />name will not fit 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 UCC1Ad) <br />la. ORGANIZATION'S NAME <br />lb. INDIVIDUAL'S SURNAME <br />HYDE <br />MAILING ADDRESS <br />30 SOUTH GUNBARREL RD <br />FIRST PERSONAL NAME <br />WILLIAM <br />CITY <br />GRAND ISLAND <br />ADDITIONAL NAME(S)/INITIAL(S) <br />C <br />STATE <br />NE <br />POSTAL CODE <br />68801 <br />2. DEBTORS NAME: Provide only one Debtor name (2a or 2b) (use exact, full name; do not omit, modify, 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 />2a. ORGANIZATIONS NAME <br />2b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDITIONAL NAME(S)/INITIAL(S) <br />STATE <br />POSTAL CODE <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />OR <br />3c. <br />100 SW 75TH ST, STE 102 <br />4. COLLATERAL: This financing statement covers the following collateral: <br />HVAC <br />$4780.00 <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee/Lessor <br />8. OPTIONAL FILER REFERENCE DATA: <br />48537226 1133888 <br />❑ Consignee/Consignor <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />❑ Seller/Buyer <br />( rJ <br />3a. ORGANIZATIONS NAME <br />US CREDIT <br />3b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />GAINESVILLE <br />ADDITIONAL NAME(S)INITIAL(S) <br />STATE <br />FL <br />POSTAL CODE <br />32607 <br />5. Check oy if applicable and check on one box: Collateral is ❑held in a Trust (see UCC1Ad, item 17 and Instructions) ❑being administered by a Decedent's Personal Representative <br />6a. Check g_IN if applicable and check only one box: 6b. Checkm_h if applicable and check or_A one box: <br />❑ Public- Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing <br />❑ Bailee/Bailor <br />SUFFIX <br />COUNTRY <br />USA <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />USA <br />❑ Licensee/Licensor <br />Prepared by CT Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />m <br />—1 <br />m <br />rri <br />ry CI) <br />co <br />ara (/) <br />cn <br />CD <br />� Z <br />pi <br />