Laserfiche WebLink
1 <br />OR <br />to <br />OR <br />2c. <br />OR <br />3c. <br />L <br />NANCING STATEMENT <br />JSTRUCTIONS <br />PHONE OF CONTACT AT FILER (optional) <br />I: (800) 331 - 3282 Fax: (818) 662 - 4141 <br />CONTACT AT FILER (optional) <br />TLS_ Glendale_ CustomerService @woiterskluwer.com <br />CKNOWLEDGMENT TO: (Name and Address) 25676 - US CREDIT INC <br />.ien Solutions <br />Box 29071 <br />Lvnrndale, CA 91209 -9071 <br />100 SW 75TH ST STE 102 <br />48727224 - 1 <br />NENE <br />FIXTURE <br />File with: Hall County Register of Deeds, NE <br />4. COLLATERAL: This financing statement covers the following collateral: <br />HVAC <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (Form UCC1) (Rev. 04/20/11) <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name (3a or 3b) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTORS NAME: Provide only one Debtor name (la or 1 b) (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 0 and provide the Individual Debtor information in item 10 of the Financing Statement Addendum (Form UCCIAd) <br />la. ORGANIZATION'S NAME <br />1b. INDIVIDUAL'S SURNAME <br />BLANK <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />JAYNE <br />CITY <br />ADDmONAL NAME(S)ANITIAL(S) <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />1410 SOUTH LINCOLN ST GRAND ISLAND NE 68801 USA <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 0 and provide the individual Debtor information in item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />2a ORGANIZATION'S NAME <br />2b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />ADDmONAL NAME(S)lBJITIAL(S) <br />STATE <br />POSTAL CODE <br />SUFFIX <br />COUNTRY <br />3a. ORGANIZATION'S NAME <br />US CREDIT <br />3b. INDIVIDUALS SURNAME <br />MAILING ADDRESS <br />FIRST PERSONAL NAME <br />CITY <br />GAINESVILLE <br />ADDITIONAL NAME(SyMHTIAL(S) <br />STATE <br />FL <br />POSTAL CODE <br />32607 <br />SUFFIX <br />COUNTRY <br />USA <br />5. Check o if applicable and check done box: Collateral is Qheld in a Trust (see UCC1Ad, item 17 and Instructions) []being administered by a Decedent's Personal Representative <br />6a. Check o� if applicable and check o� one box: 6b. Check on if applicable and check mi one box: <br />0 Public- Finance Transaction ❑ Manufactured -Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑ Non -UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): a Lessee/Lessor 0 Consignee /Consignor 0 Seller/Buyer 0 Bailee/Bailor 0 Licensee /Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />48727224 1276530 <br />Prepared by CT Lien Solutions, P.O. Box 29071, <br />Glendale, CA 91209 -9071 Tel (800) 331 -3282 <br />