Laserfiche WebLink
FINANCING STATEMENT AMENDMENT <br />VINSTRUCTIONS <br />IF & PHONE OF CONTACT AT FILER (optional) <br />\ I L CONTACT AT FILER (optional) <br />—..D ACKNOWLEDGMENT TO: (Name and Address) <br />[ Bank <br />1631 16th St • fi 3 ' - ac $ (09 <br />L' <br />k, <br />�v c <br />18, INITIAL FINANCING STATEMENT FILE NUMBER 1b.LThis FINANCING STATEMENT AMENDMENT is to be filed (for record/ <br />0201107443 Filer: Amendment Addendum (Fort RECORDS and prcvlde Debtors name In item 13 <br />2, ❑ TERMINATION; Effectiveness of the Financing Statement identified above Is terminated with respect to the security intermits) of Secured Party authorizing this Termination <br />Statement <br />3. ❑ ASSIGNMENT (furl or partial): Provide name of Assignee in item 7a or 7b, sag address of Assignee In Item 7c and name of Assignor in Item 9 <br />For partial assignment, complete items 7 and 9 and also indicate effected collateral In (ter B <br />4. m CONTINUATION: Effectiveness of the Flnanoing Statement Identified above with respect to the security Interest(s) of Secured Party authorizing this Continuation Statement la <br />continued for the additional period provided by applicable law <br />5. ❑ PARTY INFORMATION CHANGE: <br />Check title of mesa two boxes: al,J2 Check snit of these three boxes to: <br />CHANGE name and/or address: Complete ,--,ADD name: Complete Item DELETE name: Give record name <br />Thla Change affects ❑Debtor 2 ❑ Secured Party of record p item 68 or 6b;Bnd Item 7a or 7b Bpd item 7c 7a or 7b, and item 7c ❑ to be deleted In item ea or Bb <br />6. CURRENT RECORD INFORMATION: Complete for Party Information Change - provide only spa name (8a or eb) <br />6a, ORGANIZATION'S NAME <br />Mi. INDIVIDUAL'S SURNAME <br />Panowicz <br />FIRST PERSONAL NAME <br />Michael <br />ADDITIONAL NAME(S)IINITIAL(S) <br />A <br />OR <br />7. CHANGED OR ADDED INFORMATION; Complete tar Assignment or Pndy In <br />OR <br />OR <br />70. ORGANIZATION'S NAME <br />7b. INDIVIDUAL'S SURNAME <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />INDIVIDUAL'S ADDITIONAL NAME(S)/INITIAL(S) <br />7c. MAILING ADDRESS <br />10. OPTIONAL FILER REFERENCE DATA: <br />CITY <br />nit <br />Fri rr = <br />STATE <br />POSTAL COPE <br />) <br />OD <br />9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT; Provide only Qpp name (90 or 9b) (neme of Assignor, If Ws Is en Ae0gnment) <br />If this le an Amendment authorized by a DEBTOR, check here Q and provide name of authorizing Debtor <br />9a. ORGANIZATION'S NAME <br />f7) <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />SUFFIX <br />SUFFIX <br />«t Change • provide only gat name (78 or 7b) (use exact, full name: do not omk. modify, or abbreviate any pert of the Debtors name) <br />COUNTRY <br />10288 W White Cloud RD Cairo -� N8 68824 USA <br />8. ❑ COLLATERAL CHANGE: 61a2 check cps of them four boxes: El D ADD collator DELETE collateral • ❑ RESTATE covered collateral ❑ ASSIGN collateral <br />Indicate collateral: <br />S& th Half (S1 /2) of the North West Quarter (NW1 /4) and the North Half (N1 /2) of <br />the South West Quarter (SW1 /4) Section Eleven (1T) ; ".Twelve (12) North, <br />Range Eleven (11) West of the 6th P.M., in Hall County, Nebraska <br />Cornerstone Bank <br />9b, INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(8) <br />SUFFIX <br />Internatior.al Association of Commercial Administrators IIACA) <br />FILING OFFICE COPY -- UCC FINANCING STATEMENT AMENDMENT (Form UCC3) (Rev. 04/20/11) <br />