Laserfiche WebLink
rn <br /> ........ <br /> __ <br /> _._ <br /> N....... <br /> L.:3 <br /> cs,......_ __I ..„ rn <br /> _,.... cz, <br /> 0.)__. =I n <br /> 0) C ? t r1 <br /> FINANCING STATEMENT �� d N ' <br /> co <br /> E—.. Z <br /> C �. _p f V <br /> �— J INSTRUCTIONS til _ ' r t,,,/ (/I <br /> �n <br /> E&PHONE OF CONTACT AT FILER(optional) n j� h' <br /> U ..L:3 <br /> UL CONTACT AT FILER(optional) �{ f , CT) C <br /> ✓........, ,Ifr <br /> + x N) fTl <br /> D ACKNOWLEDGMENT TO: (Name and Address) ,.▪.. Z <br /> V (. —1 <br /> ' First Dak• National Bank j I Z <br /> 225 Ce•: reet 3u, ■';V Gul 1 S 14Pr• C • .�.... 0 O <br /> PO Bo ,fir, 5 <br /> 'yank • , SD 57078 ��/; �"^�r�r fl��n i 0' <br /> "'� n , ►v c 6,g4.0. .. THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> 1. DEBTOR'S NAME: Provide only one Debtor name la 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 Debtors <br /> name will not fit in line 1b,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 /> - 1a.ORGANIZATION'S NAME <br /> OR <br /> lb.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> Rainforth Diana L <br /> 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 7387 W Rosedale Rd Doniphan NE 68832 USA <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 Debtors name);if any part of the Individual Debtors <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.ORGANIZATION'S NAME <br /> OR 2b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> Rainforth Leonard J <br /> 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 7387 W Rosedale Rd Doniphan NE 68832 USA <br /> 3.SECURED PARTY'S NAME(or NAME of ASSIGNEE of ASSIGNOR SECURED PARTY): Provide only one Secured Party name(3a or 3b) <br /> 3a.ORGANIZATION'S NAME <br /> First Dakota National Bank <br /> OR 3b.INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br /> 3c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br /> 225 Cedar Street,PO Box 156 Yankton SD 57078 USA <br /> 4.COLLATERAL: This financing statement covers the following collateral: <br /> — <br /> All Fixtures and All Irrigation Equipment and any and all water rights including but not limited to gravity pipe,pump,Serial#5125A 200781, <br /> Well Registration G-037944 ID 45107;whether any of the foregoing is owned now or acquired later;all accessions,additions,replacements, <br /> and substitutions relating to any of the foregoing;all records of any kind relating to any of the foregoing. <br /> 5.Check only if applicable and check gfity one box: Collateral is ❑held in a Trust(see UCC1Ad,item 17 and Instructions) LI being administered by a Decedent's Personal Representative <br /> 6a. Check oily if applicable and check only one box: 6b.Check only if applicable and check only one box: <br /> ❑ Public-Finance Transaction ❑Manufactured-Home Transaction ❑ A Debtor is a Transmitting Utility ❑ Agricultural Lien ❑Non-UCC Filing <br /> 7.ALTERNATIVE DESIGNATION(if applicable): ❑ Lessee/Lessor ❑ Consignee/Consignor ❑ Seller/Buyer ❑ Bailee/Bailor ❑ Licensee/Licensor <br />' 8.OPTIONAL FILER REFERENCE DATA: <br /> FILING OFFICE COPY—UCC FINANCING STATEMENT(Form UCC1)(Rev. 04/20/11) D+H <br /> 400 S.W.6th Avenue,Portland,Oregon 97204 <br />