201508261 - Laserfiche WebLink

Browse

rn m � � � rnm � y rn o �� n �rn IV rn �, �o rn � � o o �z � a z� � � � �� z � � � z� � � � — � �� INAN�iN� STATEMENT rn� rn � �� NSTR�CTIDNS rn� � y =� � c � 8�PHQNE OF C�NTACT AT FlLER(optionai} �� �� Z C�NTACT AT F�LER{aptional} p� � � � � Z C.SEND AC�CN�WLEDGMENT Ta: �Name and Address} � �H4rizon Bank � ATTN: Janet L.Latimer �.U84� N. �4Znd S�r�et P.Q.Box 447 �Waver�y,NE 68462 � THE AB�VE SPACE IS FOR FILIN��FFICE USE�NLY 1.DEBT�R'S NAME: Provide only g�Debtor nam��1a�r 1b)(use exact,full name;do not omit,madify,ar abbreviate any part of the Debtvr's nam�j;if any part af the lndividua�Debtvr's name will nat fi#ir�line 1b,leave ail�i item�b�ank,check here � and pro�ide the Individuaf❑ebtor informatian in item 1�of the Financing 5tat�msnt Addendum(Form UCC1Ad� ..� 1a.QR�ANIZATIDN'S NAME Victory Piac�,LL� �R 1b.!Nf]�VfDUAL'S SURNAME FIRST PERSDNAL NAME ADD�Tl�NAL.NAME�S}lINITiAL{S} SUFFI}C 1c. MA1�fNG ADOR�SS CiTY STATE P�STAL C��E C�UNTRY 4�4 SW 9th Street Topeka I�S G661Z USA 2.DEBT�R�S NAME: Pra�ide❑nly�.g Deritar name{2a vr 2b}�use exact,tufl name;do not amit,mvdify,❑r abbreviate any part of ths Debtor's name);if any part vf the Individuat❑ebtor's �ame will not fit in line�b,leave all af item 2�lank,check h�re � and pro�ide the individual Debtar information in item 1Q of the Financing 5tatement Addendum(Farm UCC1Ad} 2�.�RGANIZATlnN`S NAM� �R 2b,INDIVIDUAI.'S SURNAME FIRST PER50NA�NAME ADD1Ti�NAL NAME�S}IlMTiAL�S� SL1FFlX �c. MAiL,ENG ADDRESS CITY STATE PC7STAL CflDE C�UNTRY 3.SECURE❑PARTY�S NAME�ar NAME af ASSfGNEE af ASSIGNQR SECURED PARTY}; Prv�ide only g.�e Secured Party name�3a vr 3b� 3a.�RGRN�ZATI�N'S NAME _ Horizon Bank DR 3b.INDIVIDL]AL'S 5LIRNAME FIRST PERSDNAL NAME ADDIT�DNAL NAME�S}IIN�T{A�(5} SUFFix 3�. MAILING A�DRESS CITY STATE POSTAL C�D� CDUNTRY 14541 N. 142nd Street,P.�. Box 447 �Va�erly NE 58462 USA 4.C�L�ATERAL: This financing statement covers the fo[fowing callateral: �'"" All of Debtor's in�er�st in fixtures loca�ed on the real estate described in paragraph 16 of the Addendum. 5.Cneck o�y if applica�le and check�y one bax:Collateral is �held in a Trust{see UCC1Ad,item'!7 and instructians� ��eing administered by a Deceden#'s Persanal Representati�e fia.Check only.if applicable and check a�}y one box: 6b.Check�Jy if appli�abfe and�Y�eck�y vn�box: � Public-Fir�an�e Transaction � Manufa�tured-Hame Transactian �A❑e�tvr is a Transmitting Utility � Agricultural Lien �Nan-UCC Filing 7.ALTERNATIVE DESlGNATkON�if appficabke}: � Less�el�essvr � ConsigneelCor►signar � SeklerlBuyer � Baileel6ailvr � LicenseelLicens�r 8.QPTlDNAL FILER f�EFERENCE❑ATA: lnternational Ass�ciat�on of Gammercial Administrat�rs[IACA� FILING aFFICE CC�PY—UCC FINANCING STATEMENT�Form lJCC1}tRe�.041��11�}