Laserfiche WebLink
N <br />CP <br />CD <br />FINANCING STATEMENT <br />co <br />W W INSTRUCTIONS <br />CO <br />OR <br />1 c. <br />13 <br />OR <br />2c. <br />13 <br />OR <br />3c. <br />140 <br />sE & PHONE OF CONTACT AT FILER (optional) <br />0 648 - 8026 <br />�..��. AIL CONTACT AT FILER (optional) <br />::uments @dfsfin.com <br />JD ACKNOWLEDGMENT TO: (Name and Address) <br />DIVERSIFIED FINANCIAL SERVICES, LLC <br />14010 FIRST NATIONAL BANK PKWY i I <br />STE 400 <br />L OMAHA, NE 68154 <br />J <br />RC"?. <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S NAME: Provide only one Debtor name (la or lb) (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 1b, leave all of item 1 blank, check here I and provide the Individual Debtor information In item 10 of the Financing Statement Addendum (Form UCC1Ad) <br />la. ORGANIZATION'S NAME <br />MILLER BROTHERS <br />lb. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />872 W GUENTHER RD <br />FIRST PERSONAL NAME <br />CITY <br />WOOD RIVER <br />ADDITIONAL NAME(S) /INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68883 • <br />SUFFIX <br />COUNTRY <br />2. DEBTOR'S 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 riot fit in fine 2b, leave all of Item 2 blank, check here El 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 />MILLER <br />MAILING ADDRESS <br />872 W GUENTHER RD <br />FIRST PERSONAL NAME <br />ALLAN <br />CITY <br />WOOD RIVER <br />ADDITIONAL NAME(S) /INITIAL(S) <br />E <br />STATE <br />NE <br />POSTAL CODE <br />68883 <br />3. SECURED PARTY'S NAME (or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only gue Secured Party name (3a or 3b) <br />3a, ORGANIZATION'S NAME <br />DIVERSIFIED FINANCIAL SERVICES, LLC <br />3b. INDIVIDUAL'S SURNAME <br />MAILING ADDRESS <br />10 FIRST NATIONAL BANK PKWY STE 400 <br />FIRST PERSONAL NAME <br />CITY <br />OMAHA <br />ADDITIONAL NAME(S) /INITIAL(S) <br />STATE <br />NE <br />POSTAL CODE <br />68154 <br />4. COLLATERAL: This financing statement covers the following collateral: <br />1 NEW 2015 MODEL 8000VFLEX VALLEY PIVOT 1085' W/ 287' VFLEX CORNER ARM <br />5. Check oak if applicable and check ggly one box: Collateral Is Q held in a Trust (see UCC1Ad, item 17 and Instructions) being administered by a Decedent's Personal Representative <br />6a. Check a& if applicable and check gilt one box: 6b. Check gay, If applicable and check only one box: <br />0 Public Finance Transaction fl Manufactured - Home Transaction El A Debtor is a Transmitting Utility El Agricultural Lien 0 Non - UCC Filing <br />7. ALTERNATIVE DESIGNATION (if applicable): ❑ Lessee /Lessor Y Consignee/Consignor 0 Seller/Buyer 0 Bailee/Bailor 0 Licensee /Licensor <br />8. OPTIONAL FILER REFERENCE DATA: <br />0190866 -001 FIXTURE FILING / REAL ESTATE <br />UCC FINANCING STATEMENT (Form UCC1) (Rev, 04/20/11) <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />N <br />cn CO <br />co c <br />nil <br />c4 <br />